Transcript Highlights:

• When we did the Hold Harmless, oh yeah, you're right, you're right.
• Yes, Hold Harmless distributions. We reduced the Hold Harmless distributions in 2013.
• That was part of the compromise when we decided the Hold Harmless was way too big a number, and so we
• Because the hold harmless was for cities, because when you took that tax off of the food places like
• So we've tried to hold them harmless by giving them state money. and then we went broke as a state, and

Keywords: 996, all

Transcript Highlights:

• These hold harmless provisions and the FSP are intended to hold districts harmless for property tax relief
• So the legislation provided for multiple hold harmless provisions, which try to hold essentially total
• And baked in is the state holding that harmless.
• So the legislation provided for multiple hold harmless provisions, which try to hold essentially total
• Hold harmless provisions. Hold harmless provisions that were under assumed are miscalculated?

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee held its first hearing of the 89th regular session, adopted nearly identical committee rules from the previous legislature by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the budget framework, emphasizing conservative spending, a $332.9 billion all-funds budget, and major priorities including property tax relief, public education, border security, health and human services, transportation, energy, and water infrastructure. She also introduced committee and leadership staff and described the hearing schedule and public testimony procedures. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending, including a $23.8 billion ending balance, but warned that revenue growth is returning to more normal levels and that lawmakers should avoid using temporary spikes for ongoing commitments. Senators questioned him extensively about the Economic Stabilization Fund cap, sales tax trends, inflation, and whether the state should consider raising the cap or using severance-tax revenues differently. Hager said the Rainy Day Fund is expected to hit its cap, which would leave more severance-tax revenue in general revenue, and he stressed that infrastructure needs remain significant. The Legislative Budget Board then gave a detailed overview of SB 1 and the budget’s major components. LBB staff explained that the bill includes continued funding for the Foundation School Program, $850 million for the Texas State Technical College endowment, $1.3 billion for the Texas University Fund, $6.5 billion for border security, salary increases for correctional officers and state troopers, $3 billion for dementia research, higher community attendant wages, expanded community-based care, $5 billion for the Texas Energy Fund, and funding to clear volunteer fire department grant backlogs. They also outlined supplemental priorities such as water infrastructure, retirement legacy payments, rail grade separations, wildfire aircraft, and emergency facilities, and said the current controlling budget limit is the tax spending limit. A major portion of the hearing focused on property tax relief. LBB explained that prior-session relief grew from an expected $18 billion to $22.7 billion because of higher-than-anticipated property values and interactions among hold-harmless provisions, and that SB 1 continues and expands relief with $51 billion in total property tax relief, including $3 billion more for compression, $3 billion to raise the homestead exemption from $100,000 to $140,000, and a $500 million placeholder for business tax relief. Senators discussed the automatic nature of some of these costs, the effect of the non-homestead circuit breaker, the role of federal COVID funds, and the need to maintain school finance commitments if the state continues to compress school tax rates.

Transcript Highlights:

• But I think there's got to be a discussion of holding—I don't want to build a formula of hold harmless
• I think if you look at the present formula, and you take out the 92% hold harmless...
• We have to hold them harmless for a biennium. That's my opinion, because that's not fair.
• So we're going to hold you harmless anyway.
• Again, that's why we have the hold harmless, and that, and we add on and we pull off.

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• And there is a hold harmless period of 120 days that would end on November 1st, which is why we're talking
• And there is a hold harmless period of 120 days that would end on November 1st, which is why we're talking
• And there is a hold harmless period of 120 days that would end on November 1st, which is why we're talking
• harmless period of 120 days is a hold harmless period of 120 days that<00:10:19.120> would<00:
• <00:18:48.080> us exemption to essentially hold us exemption to essentially hold us harmless

Keywords: 910, house, all

Summary: The committee on Human Services and Homelessness received a briefing from Scott Morish of the Hawaii Department of Human Services on upcoming SNAP changes tied to the federal One Big Beautiful Bill Act (HR1/OBBA) and on the federal government shutdown’s impact on November SNAP benefits. DHS described its SNAP workload and statewide participation, noting about 86,229 households and 168,947 individuals receiving benefits in September, with roughly $58–$60 million distributed monthly. Morish said DHS has already made system and policy updates in preparation for the November 1 implementation date. Most of the briefing focused on expanded able-bodied adult work requirements. DHS explained that the work rule now applies to additional groups, including adults ages 55 to 64, households with dependent children age 14 and older, people experiencing homelessness, veterans, and youth ages 18 to 24 who transitioned from foster care. The department said affected individuals must generally work or participate in qualifying activities for 80 hours per month, with noncompliance leading to a three-month benefit limit and a 36-month ineligibility period. DHS also reviewed exemptions, including for disability, pregnancy, caregiving, school or training, unemployment, and substance use treatment, and clarified that the new Indian Health Care Improvement Act exemption does not include Native Hawaiians. DHS said it received approval for Hawaii’s request for a non-contiguous-state exemption from payment error penalties through September 30, 2026, but must still make good-faith efforts to implement the work rules. Morish also outlined OBBA changes to non-citizen eligibility, saying that beginning November 1 only lawful permanent residents, COFA residents, and Cuban or Haitian entrants will remain eligible, while other previously eligible categories such as refugees, asylees, and some parolees will no longer qualify. He noted that ineligible non-citizens must still be included in household reporting and their income counted. The committee then discussed the federal shutdown’s effect on SNAP, with DHS saying USDA directed states to suspend November SNAP issuance because of insufficient funding; existing October benefits remain usable, and TANF and general assistance are not affected. DHS said it has posted FAQs and call-center messages, and is working with the Hawaii Food Bank on an additional $2 million in support and with nonprofit partners on a new Hawaii Relief program funded by TANF for families with dependent children. Members asked about eligibility for kūpuna and documentation for the relief program, and DHS said the TANF-funded program is limited to households with a child under 18, while FAQs are now available online.

Transcript Highlights:

• That number, if you look to the last column, is basically a hold harmless.
• It's meant to be a hold harmless.
• That's what it took to get them to hold harmless, and it looks different than the hold harmless that
• All of a sudden, you're dropping somebody else into the hold harmless column.
• So small institution factors is kind of a hold harmless placeholder.

Keywords: 908, all

Summary: The Higher Education Funding Committee met to discuss possible changes to North Dakota’s higher education funding formula, with a particular focus on separating the UND School of Medicine and Health Sciences MD program from the general formula. Dr. Jenkins outlined several options for the MD program, including a fixed-funding model, a hybrid model, or keeping it in the formula, and emphasized the need to preserve strong support for medical education while making future funding clearer. He also discussed efforts to increase the share of North Dakota students in the MD program through ND85, expanded recruiting, early acceptance pathways, MCAT prep, a four-plus-one program, and the Primary Care Accelerated Track, along with future cost pressures such as AI licensing and residency growth. The committee then reviewed a simplified funding model from the University System Office that would base funding more heavily on student FTE, credentials awarded, and a few incentive factors such as small institution and research adjustments. Members questioned the use of placeholder numbers, the lack of a clear methodology for the small institution and research factors, and whether the model would adequately account for differences among institutions, high-cost programs, and graduate education. Several members raised concerns that arbitrary factors would be hard to defend politically and could distort funding or create competition between schools, while others said the exercise was useful as a starting point for discussion. Alex presented a second alternative that kept the current SIP-code structure but increased CTE weighting, added a progressive economic size factor, and separated out the MD program. His model also added an on-campus face-to-face headcount component and a credentials component, with the intent of rewarding in-person enrollment and completions. Members questioned the use of headcount instead of FTE, how hybrid, online, dual-credit, and off-campus students would be treated, and why face-to-face enrollment was weighted more heavily than completion. No formal votes or final actions were taken; the committee instead continued discussion and asked members to provide direction on which elements, if any, should be developed further.

Transcript Highlights:

• Is it the case that some hold harmless districts are not going to be able to access that paid pregnancy
• So, as Finance notes, if you're a hold harmless district, the requirement applies to you, but the funding
• The COLA applies to the rates globally, so it goes among all, with the exception of hold harmless districts
• That being said, echoing the concerns of Senator Perez and Ochoa Bogh, hold harmless colleges that do
• That being said, echoing the concerns of Senator Perez and Ochoabog, hold harmless colleges that do not

Keywords: 987, senate, all

Transcript Highlights:

• We're holding people harmless.
• We're holding people harmless.
• We're holding people harmless.
• We're holding people harmless.
• We're holding people harmless.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• There's a hold harmless provision in here.
• And so within the model, there's a hold harmless provision, and we'll get into more of that later as
• There's also a hold harmless component to this, which means any CBC within the model where the model
• So we need, so please hold us harmless here so we can see the completion of the, of that implementation
• So we need, so please hold us harmless here so we can see the completion of the, of that implementation

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• Thank you for your time, your leadership, and for holding this hearing.
• As a provider of snow plowing services, my company will need to sign a contract that holds harmless our
• The hold-harmless language, along with the restrictions within the scope of work that the property owners
• If the company agrees to hold harmless the property owner when someone slips and falls before the agreed
• And, you know, like what happens with these, they know that we have to hold them harmless.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid hearing on a large group of bills carried over from the previous session, with Chair Jake Oliveira and House Co-Chair Paul McMurtry outlining the process and limiting testimony to three minutes. The committee heard testimony on several labor and workplace proposals, including bills to harmonize employee definitions to address misclassification (SB 1338/HB 2141), expand bereavement leave (including H. 2189/S. 1354 and related bills), protect collective bargaining rights for certain administrative employees (HB 268/SB 1306), expand commuter transit benefits (HB 2153/SB 1345), regulate employer use of credit reports (S. 1286), and require apprenticeship participation or OSHA-related workplace safety measures on public projects. At the end of the hearing, the chairs read into the record additional bills that did not receive testimony that day. Supporters of the misclassification bill, including Greater Boston Legal Services and the AFL-CIO, said aligning the employee-status tests across wage, unemployment, and PFML laws would reduce confusion, improve enforcement, and help workers wrongly treated as independent contractors or managers recover benefits and bargaining rights. NAGE and its representative argued that public-sector employees have been improperly reclassified into management titles to weaken unions, and that the bill would force the Division of Labor Relations to review those titles. On bereavement leave, advocates including the Louis E. Brown Peace Institute, a state representative, the Massachusetts Office for Victim Assistance, and individual survivors described the impact of sudden loss and homicide on families, saying guaranteed leave would help workers grieve, make arrangements, and avoid losing jobs or custody-related stability. The committee also heard support for commuter benefits as a low-cost way to reduce emissions and increase transit use, and for restricting employer credit checks because of inaccuracies and discriminatory effects. There was opposition to some construction-related bills. The Associated Builders and Contractors and the Building Trades Employers Association supported apprenticeship training in principle but said current apprentice-to-journeyworker ratios are outdated or misunderstood, and that the bills should be amended or clarified before advancing. The Massachusetts landscape and snow-removal industry strongly supported a snow-liability limitation bill, arguing that hold-harmless clauses and broad indemnification requirements force contractors to assume liability for conditions they cannot control, drive up insurance costs, and threaten business viability. The committee did not take any votes during the hearing, and the session ended with the chairs thanking members, staff, and the public before adjourning.

Transcript Highlights:

• They were allowed to impose a 3.8% hold harmless gross receipts tax on their own to cover the loss.
• And, well, Hold Harmless didn't happen until later in 2013.
• Yes, hold harmless distributions. We reduced the Hold Harmless distributions in 2013.
• That was part of the compromise when we decided the hold harmless was way too big a number.
• And then we raised it again because we had this hold harmless, because the whole harmless was for cities

Summary: The committee’s final day focused first on a historical overview of New Mexico tax packages by Pam Stokes of Legislative Council Services. She described how tax packages have alternated over the decades between tax relief, revenue raising, and tax reform, with examples ranging from the creation of the gross receipts tax in 1966 to major packages in 1981, 1986, 1991, 1994, 2005, 2019, 2022, 2024, and the vetoed 2025 package. Members discussed how tax policy often tracks revenue conditions, how packages can combine increases and decreases, and how local government gross receipts taxes and hold-harmless distributions have affected communities differently. Several members reflected on past packages, especially the 2004 food tax repeal and the 2013 film tax and manufacturing changes, and noted that tax policy can have major economic and political effects even when it is not “sexy” legislation. The committee then heard a proposal to expand the health care practitioner gross receipts tax deduction to include co-insurance, and to extend the sunset date. Sponsor Senator Figueroa said the bill was intended to help recruit and retain medical providers and build on prior deductions for co-pays and deductibles. Testimony explained that co-insurance is the patient’s share after the deductible, that providers currently absorb the gross receipts tax on those payments, and that the proposal would cost about $30 million to the state plus about $20 million to municipalities and counties, with the exact fiscal impact likely to be updated. Members raised concerns about the effect on local governments, whether insurers could be required to reimburse providers, whether the bill would actually attract doctors, and whether better evaluation measures and sunsets should be added. The sponsor said the bill was part of a broader set of efforts to address provider shortages and that the discussion would continue. Representative McQueen then presented a bill to update the Land Conservation Incentives Act. He and conservation partners said the program has protected more than 500,000 acres but has not kept pace with rising land values, especially for irrigated agricultural land in the Middle Rio Grande. The proposal would increase the percentage of conservation value eligible for the credit, raise the per-transaction cap from $250,000 to $2 million, and make the credit refundable rather than only transferable. Testimony emphasized that the program is voluntary, keeps land in private ownership and production, and helps land-rich, cash-poor landowners preserve farmland and water rights. Members asked about average credit amounts, how easements work, whether landowners could effectively buy land and then use the credit, and whether there should be inflation indexing or a statewide cap. The discussion also touched on water rights, fencing, and the role of conservation easements in protecting agricultural land and compact water deliveries. Finally, Senator Sharer previewed his 2% tax proposal with a historical presentation on New Mexico tax law, using props to illustrate the evolution from early territorial tax codes to the modern tax system. He argued that the state’s current tax structure is overly complex and that recent federal changes have disrupted the personal income tax base. The committee did not take any votes on the day’s presentations; the meeting was primarily informational, with members offering feedback and raising policy concerns for future sessions.

Transcript Highlights:

• The impact of various hold harmless provisions that are included in the bill.
• These hold harmless and the FSP are intended to hold districts harmless for property value for property
• harmless was higher than what was... ...kind of interactions and costs grew so that the hold harmless
• So the legislation provided for multiple hold harmless provisions, which try to hold essentially total
• Hold harmless provisions. The hold harmless provisions that were under assumed are miscalculated?

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee convened for its first hearing of the 89th regular session, confirmed a quorum, adopted committee rules by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the committee’s organization, introduced staff, and described the budget as conservative and focused on one-time investments. She highlighted major SB 1 priorities including property tax relief, full funding for public education formulas, teacher pay, school safety, border security, Medicaid growth, dementia research, energy and water infrastructure, transportation, wildfire suppression, and other capital and public safety needs. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending in 2026-27, with a projected $23.8 billion ending balance from the current biennium. He cautioned that revenue growth is returning to more normal levels and that lawmakers should avoid committing short-term surpluses to ongoing expenses. He also explained that the Economic Stabilization Fund is projected to hit its constitutional cap, meaning an estimated $5.6 billion in severance tax and related revenue would remain in general revenue in the upcoming biennium rather than flow into the fund. Senators discussed whether to raise or rename the fund and the implications of keeping more severance-tax revenue in general revenue. The Legislative Budget Board then gave an overview of SB 1 and the budget’s major funding changes. LBB staff explained that the bill is essentially flat at $332.9 billion in all funds, but includes large method-of-finance shifts and major property tax relief. They detailed how prior property tax relief enacted in the 88th Legislature grew from an estimated $18 billion to $22.7 billion because of higher property values and hold-harmless provisions, and said SB 1 continues that relief with a total of $51 billion in ongoing and new property tax support. Members asked extensive questions about the automatic growth in school tax compression, the constitutional homestead exemption, COVID-era federal funding, Medicaid assumptions, and the sunset of the non-homestead circuit breaker. No additional votes or final budget actions were taken beyond adoption of the committee rules.

Transcript Highlights:

• So there's also this there's this concept of a hold harmless provision and a 6% tax limit does not trigger
• It is kind of referred to as a hold harmless.
• Everyone else is below the 6% for the hold harmless provisions.
• So it freezes the hold harmless provision at 6% for taxes currently in place for not expansion states
• Foreign expansion state and drops at its steps that hold harmless provision down to 3 and a half percent

Transcript Highlights:

• There is a separate set of districts that are receiving hold harmless funding.
• There is a separate set of districts that are receiving hold harmless funding.
• And that deficit factor applies across the board, so even a hold harmless district would see slightly
• Those districts will tell you that it's not optimal to be at that hold harmless level because prices
• Their hold harmlessness on a per-unit basis still adjusts with caseload and effectively has no impact

Keywords: 988, house, all

Transcript Highlights:

• specifically the reduction in the hold specifically the reduction in the hold harmless<00:09:12.800
• It reduces that hold harmless threshold.
• It's to that 0% hold harmless threshold.
• The second provision is the hold The second provision is the hold harmless<00:25:50.640> threshold
• <00:26:50.240> harmless reduction um in the hold harmless reduction um in the hold harmless

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• harmless the University of Minnesota, to hold harmless menate, to hold harmless the Northstar Promise
• harmless the University of Minnesota, to hold harmless menate, to hold harmless the Northstar Promise
• harmless the University of Minnesota, to hold harmless menate, to hold harmless the Northstar Promise
• harmless the University of Minnesota, to hold harmless menate, to hold harmless the Northstar Promise
• harmless the University of Minnesota, to hold harmless menate, to hold harmless the Northstar Promise

Keywords: 1183, house

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• Hold on. Representative Frank. I think it will.
• Hold on one sec. Frank's coming right back. Thank you. He's doing these two.
• Hold on. We're going to stand. Thank you. Thank you. We don't have to do any more or anything.
• initial evaluations. ...30 minutes of arrival and sets out clear rules for short-term mental health holds

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• members have comments, announcements, or general questions not related to today's presentation, please hold
• Related to today's presentation, please hold those until the end of the meeting, and there'll be a time
• Changes to provider taxes, specifically the reduction in the hold harmless threshold for provider taxes
• specifically the reduction in the hold specifically the reduction in the hold harmless<00:09:16.800
• threshold for provider taxes harmless threshold for provider taxes are<00:09:18.399> a<00:09:

Keywords: 958, all

Summary: At its second meeting on July 30, 2025, the Medicaid Oversight and Advisory Board approved the minutes from its June 25 meeting and received housekeeping materials, including follow-up information on provider taxes, mandatory and optional Medicaid services, and the 1115 community engagement waiver. The chair noted that members should hold general questions until the end of the meeting. The main presentation came from Katherine Castanza of the National Conference of State Legislators, who gave a nonpartisan overview of Medicaid provisions in HR1. She explained that the bill contains more than 20 Medicaid-related provisions, with major changes affecting provider taxes, state-directed payments, eligibility and enrollment rules, work or community engagement requirements, and the frequency of eligibility redeterminations for expansion populations. She emphasized that five provisions account for most of the federal savings, that the fiscal effects are backloaded into the final years of the 10-year window, and that expansion states and provider payment changes make up a large share of the impact. Castanza also highlighted that the Medicaid provisions would take effect either upon enactment or before October 1, 2029, creating roughly a five-year implementation period. She noted that some states may not realize the same savings as the federal government because of financing changes and implementation responsibilities, and she cited estimates that the enacted Senate provisions could reduce hospital payments by 18.2%, or more than $660 billion over 10 years. The transcript provided does not show any votes or final actions beyond adoption of the minutes.

Transcript Highlights:

• I won't hold you up anymore. Senator Lanier. Thank you, Mr. Chair.
• providers harmless for health care-related taxes.
• In FFP, a health care-related tax like GRT on Medicaid receipts must not impermissibly hold harmless
• harmless for all.
• providers harmless for.

Transcript Highlights:

• <01:06:10.359> harmless what we call the hold harmless what we call the hold harmless conditions
• <01:21:46.840> harmless<01:21:47.360> for described that to be hold harmless for described
• <01:22:14.400> This<01:22:14.520> hold<01:22:14.720> harmless would be exempt
• This hold harmless would be exempt.
• This hold harmless column<01:22:15.480> is<01:22:15.680> really<01:22:15.960> on

Keywords: 927, senate, all