Transcript Highlights:

• As a state accepting payments through digital assets.
• This bill simply allows a fair payment methodology when they go to an ASC.
• get reimbursed.
• through the standardized prospective payment model.
• Provider-based hospital-owned clinics can elect an alternative payment methodology that reimburses them

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• So there's also the issue—it's not only cost, but it's payments.
• And private insurance in general does tend to reimburse better.
• The second reason why doctors are leaving our state is because of the low Medicaid reimbursement.
• Lump sum payment?
• And they contribute quite a bit of money in tax payments. a bit of money in tax payments—162 billion—because

Committee: Joint Revenue Stabilization & Tax Policy Committee

Keywords: 996, all

Transcript Highlights:

• Honest billing errors and payment disputes will no longer be a matter of private contract enforcement
• Hospitals regularly are forced to sue health plans over payment practices.
• You want an example of a low payment?
• The pharmacy got the right payment, but due to a paperwork error, the pharmacy lost it all.
• as payment in full. minus standard, of course, uh, copayments, deductibles.

Committee: House Insurance

Transcript Highlights:

• It will reimburse participants for travel-related expenses.
• HB 18 will enhance Medicaid reimbursement for rural hospitals.
• HB 18 goes further with regard to labor and delivery payments, with regard to Medicaid payments, in the
• Our managed Medicaid reimbursement was also $1.1 million.
• Our managed Medicaid reimbursement was also $1.1 million.

Bills: HB18 , HB37 , HB 116 , HB388 , HB879 , HB913 , HB 1151 , HB2216 , HB2358 , HB2809 , SB577 , SB1590 , SB1782 , SB1887 , SB2744

Committee: Senate Health & Human Services

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• For right now, the reimbursement rate for adult residential is 29,333 a year.
• That are doing this, and they're not getting reimbursed now at the same level.
• So the reimbursement...
• A specific memory care unit, what kind of rate are they reimbursed at then?
• And this is really a huge part of our per-pupil payment. Very, very important.

Committee: House Appropriations

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:

• They release two notices regarding the payment policy.
• And this tells what they anticipate the MA rate funding will be, which is payments for every single county
• that final rate notice that comes out first Monday in April so that they will know what the final payment
• Before, most of it was coming in reimbursements on catastrophic claims; that was the bulk of the subsidy
• D plan so that we can take advantage of that differential on the Part D side so that we get more payment

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• </c> child care or housing reimbursements? child care or housing reimbursements?
• Maybe the focus is just on the tuition reimbursements.
• Maybe the focus is just on the tuition reimbursements.
• Maybe the focus is just on the tuition reimbursements.
• </c> reimbursements or other support systems. reimbursements or other support systems.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• The reimbursement rate right now from Medicaid is $182.30.
• The vast reality is the current reimbursement certainly does not fully cover the cost.
• and I'm the plans that are currently reimbursing at a lower amount.
• In the state shall bear all costs associated with the reimbursement of under-reimbursed dispensing fees
• So, you know, for two-plus months now, we've been reimbursed grossly under our costs.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• </c> reimbursed for them. reimbursed for them.
• </c> discounted 340B price, um but no payment discounted 340B price, um but no payment received.<00:09
• patients through co-pays or co-insurance, plus reimbursements from any payers or other cash payments,
• </c> operational costs, and reimbursements. operational costs, and reimbursements.
• </c><00:40:45.600><c> SNAP</c> and increased payment errors. SNAP and increased payment errors.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• of $112 per visit through the standardized prospective payment system.
• Provider-based or hospital-owned clinics can elect an alternative payment methodology that reimburses
• Their reimbursement rate ranges from a low of $174.20 to a high of $586.92.
• Forty miles down the road in Bernice, their reimbursement rate is $194.68.
• And so the reimbursement has been different.

Committee: House Health and Welfare

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Can you explain what kick payments are?
• What is a quick payment eyes? >> I've never heard of it before I came.
• But it's your monthly health insurance payment.
• We issue attorney kick payment, which is a separate payment outside of the competition of a process for
• whatever there's a delivery or payment.

Keywords: 999, senate, all

Transcript Highlights:

• These upper payment limit and supplemental payment programs that do try to bring the Medicaid revenue
• ,</c><00:08:23.320><c> but</c> volume of work, not reimbursement, but volume of work, not reimbursement
• better for a reimbursed perspective than the<00:12:39.440><c> prospective</c><00:12:40.000><c> payment
• </c> major share of their payments. major share of their payments.
• </c> is the federal CMS payment schedules? is the federal CMS payment schedules?

Committee: Joint Labor, Health & Social Services

Keywords: 916, all

Transcript Highlights:

• </c> have now, which is they get reimbursed have now, which is they get reimbursed for<00:15:10.600><
• So, in the when they make that payment.
• And then based on that reimbursement.
• </c> students by expanding the reimbursement students by expanding the reimbursement from<00:46:27.040
• </c><01:15:12.840><c> would</c><01:15:13.000><c> be</c> of the payment would be of the payment would

Keywords: 1189, house, all

Summary: The committee took up HB 1563, a special education aid formula bill, after a brief recess. Members reviewed a replace-all amendment that would keep the current reimbursement lag structure but make the bill effective July 1, 2028, with districts beginning to collect the new data in the next biennium. The amendment changes the reimbursement tiers from a dollar-based system to one tied to average per-pupil spending: districts would pay 100% below 2.5 times average per-pupil spending, 85% from 2.5 to 3.5 times, 20% from 3.5 to 10 times, and 10% above 10 times, with the state covering the remainder. Speakers emphasized that the bill is intended as an incremental step to gather better data before any larger expansion of state participation. A major new section would create a risk-based monitoring program for reimbursement claims. Instead of reviewing every claim individually, the department would review at least 20% of districts each year so every district is reviewed at least once every five years, with additional random or targeted reviews based on risk indicators, anomalies, prior findings, or other department criteria. Members discussed whether the audit sample should be district-based or student-based, and whether the bill should more specifically define the type of audit and the meaning of “other” criteria. Department witnesses said the current process already involves confidential information and that the new approach would not worsen privacy concerns; they also said the department would follow federal and state privacy laws and adopt rules to implement the process. Several members supported the bill as a practical first step to improve data collection and eventually expand aid, noting that districts currently do not track lower-cost special education students well. Others raised concerns about the lack of a fiscal note, possible local costs, and whether the new monitoring language gives the department too much discretion. The discussion ended with no vote taken in the excerpt, and members indicated they may need more time to review the final amendment before proceeding.

Transcript Highlights:

• So, again, districts will not have to wait over a 5-year period for that reimbursement.
• Those are reimbursed separately outside the guarantee now.
• I get a payment every month. I'm allowed to invest that until it's used. And so, Mr.
• We floated the idea that we should use categorical funding or reimbursements.
• amount, we're reimbursing individual employed employees.

Committee: Joint Select Committee on School Finance Recalibration

Keywords: 916, all

Transcript Highlights:

• Sandy Stiff continued: “This is relating to allowing payments to be made based on allowable costs for
• For the purposes of Medicaid reimbursement, there are a variety of types of hospitals.
• And prospective payment system hospitals, or PPS hospitals, are paid at the fee schedule.
• I would like to describe the significance of the payment inequity between Astria-Toppenish Medicaid reimbursement
• Senate Bill 5835, concerning the threshold for payment of a lump sum retirement allowance.

Summary: The Ways and Means Committee held public hearings on several bills before moving into executive session. Substitute Senate Bill 6037 would change how single-city fire protection districts are funded by ending the requirement that a city reduce its levy dollar-for-dollar and instead reducing the city’s statutory maximum rate; testimony was generally supportive from cities and firefighters, while public hospital districts opposed it over prorationing concerns and some witnesses sought amendments on governance and accountability. Senate Bill 6194 would allow cost-based Medicaid reimbursement for rural hospitals on federally recognized Indian reservations, with strong support from Toppenish/Astria representatives and the Yakama Nation, who said the bill is needed to address severe funding inequities and preserve services. Senate Bill 5963 would make Passport to Careers students automatically income-eligible for the Washington College Grant; it drew support from student advocates and foster-youth advocates, with staff noting modest estimated costs. Senate Bill 5909 would require public universities to review and report low-enrollment undergraduate programs and potentially discontinue them after repeated low enrollment; Eastern Washington University supported it as an accountability measure, while faculty and student representatives opposed it as unnecessary, costly, and potentially politicized. Senate Bill 5826 would require public postsecondary student health centers to provide access to medication abortion or referrals and related web information; testimony was sharply divided between supporters who framed it as needed student health access and opponents who raised moral, safety, and budget objections. In executive session, staff briefed a series of bills, including measures on opioid treatment accreditation fees, a pre-K donation account, JLARC report elimination, retirement trust fund expense authority, pension lump-sum thresholds, port employee retirement exemptions, lemon law arbitration fees, LEAP website disclosures, limits on corporate ownership of single-family homes, a permanent senior center property tax exemption, timber tax distributions for school districts, capital project administration rules, and a real estate excise tax exemption for affordable housing. The committee then took action on the listed bills. The committee voted to give due pass recommendations to the Rules Committee for Senate Bills 5872, 5879, 5834, 5835, 5905, 5832, 6177, 5496, 5970, 5994, 6047, and 5647. Amendments were adopted on SB 5834, SB 5905, SB 6047, and SB 5647 before those bills were advanced as substitutes. SB 5988 was noted as taking action later, but no vote on it was recorded in the transcript excerpt.

Transcript Highlights:

• And if not, maybe next session we'll have to do a deficiency payment.
• Section 7, infant and toddler care provider support direct payment, $13.5 million.
• I need a higher reimbursement.
• the Medicaid expansion programs may not exceed 145% of Medicare reimbursement rates.
• And Section 48 had to do with the payment withhold for long-term care.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• procedures, particularly with regard to, Thank you. reimbursing procedures, particularly with regard
• Because, and the truth about the reimbursement for people that are not here legally is that...”
• reimbursed for that.
• “No administration ever has reimbursed for people that are not citizens of this—only, as my colleague
• Medi-Cal reimbursement rates are provide improvement in provider payments because we all know that Medi-Cal

Summary: The Senate Budget and Fiscal Review subcommittee heard four budget trailer bills: AB 110, AB 122, AB 125, and AB 177. AB 110 was described as a budget bill junior identifying budget-related legislation. AB 122 would extend sales tax to electronically delivered or remotely accessed prewritten software, extend and later limit business tax credits, reduce the annual LLC/LLP/LP tax for first-year businesses for three years, and impose a 100% tax on certain federal anti-weaponization fund settlements. AB 125 would renew the managed care organization (MCO) tax for three years beginning in 2027 to support Medi-Cal and targeted provider rate increases. AB 177 would require the Department of Finance to return by March 1, 2027 with options for assessing large employers for the Medi-Cal costs of employees enrolled in the program, including at least one employer-paid premium option for firms with 250 or more employees, and would appropriate $1,000 General Fund for implementation. Administration witnesses said AB 122 modernizes the tax system and helps create general fund revenue, while AB 125 is needed to preserve Medi-Cal financing and targeted rate increases under new federal constraints from H.R. 1 and to avoid a budget hole if the MCO tax expires. On AB 177, Finance said the bill is only a study and does not itself impose a tax, but would direct the administration to develop options for future consideration. Supportive members argued the package is part of a balanced approach to address the structural deficit, protect health care and other safety-net programs, and ensure large corporations pay more of their share. They also said AB 177 is a necessary step toward asking large employers to help cover public health care costs for workers who rely on Medi-Cal. Opponents, led by Vice Chair Niello and several other Republicans, argued the state does not have a revenue shortage but a spending problem, warning that the proposals would raise costs on consumers and businesses, discourage innovation, and expand taxes beyond their intended scope. They criticized AB 122 as potentially taxing labor-like services and limiting research and development credits, and said AB 125 would increase premiums for commercial enrollees and employers. On AB 177, they questioned the lack of definitions and specifics, saying the bill is too vague and could eventually burden employers, including hospitals and part-time workers, without clear standards. No votes were taken in the portion of the hearing provided; the committee heard testimony and questions before public comment and later action.

Transcript Highlights:

• Congressional leadership that his biggest priority is OLS reimbursement.
• Stan Dan, first I want to focus on the Lone Star reimbursement.
• And also are we anticipating an ongoing reimbursement?
• So $4 million in expense, a little over $200,000 in reimbursement.
• In 2023, we spent $365,000 and we reimbursed $41,000 on engine defense.

Committee: House Intergovernmental Affairs

Keywords: 1184, house, all

Transcript Highlights:

• which often requires patients to front the entire cost of treatment and wait for reimbursement.
• Direct payment is one of the primary reasons dentists choose to stay in-network or join a network.
• Direct payment is one of the primary reasons dentists choose to stay in network or join a network.
• One of the primary reasons for rejoining a network is direct payment.
• And also, some who do are having us now pay up front and get reimbursed by Delta Dental as well.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• Nursing agencies will not be able to sustain wages on MA reimbursement.
• </c> some level of payment from the fund. some level of payment from the fund.
• to eligible consumers so that more eligible consumers will receive payment from the fund.
• </c> clinical trainees in care reimbursed clinical trainees in care reimbursed across<00:36:04.480><c
• Is that accurate, or— Chair Kegel, Chair Klein, the goal here is to reimburse by code.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.