Transcript Highlights:

• We have over 5 million, well over 5 million, uh, people here on temporary visas for temporary visitors
• <00:34:57.920> We um temporary workers or trainees. We um temporary workers or trainees.
• In South Medicaid.
• Committee, which oversees Medicaid. Committee, which oversees Medicaid.
• <08:02:39.680> Musk Republicans attack Medicaid, Elon Musk Republicans attack Medicaid, Elon

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 28, 2025, 1012, house, all

Transcript Highlights:

• <00:31:28.159> basis scheduled it at a temporary basis scheduled it at a temporary basis initially
• <00:42:33.760> Uh and they're paying for coverages. Uh and they're paying for coverages.
• Our Medicaid fraud fraud task force.
• This is for Medicaid fraud and Medicaid and other types of healthcare fraud.
• This is for Medicaid fraud and Medicaid and other types of healthcare fraud.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:07 Office of the Attorney General Update: 00:04:52 Department of Kentucky State Police Update: 00:44:57, 958, all

Transcript Highlights:

• health insurance coverages. health insurance coverages.
• And in fact, they currently are not being considered by the Medicare and Medicaid Services.
• <03:28:26.120> So,<03:28:26.440> my Medicare and Medicaid Services.
• So, my Medicare and Medicaid Services.
• the Medicare and Medicaid Services. the Medicare and Medicaid Services.

Keywords: 910, house, all

Transcript Highlights:

• Stacey Weeks with our Medicaid Division, as she has all of the financial information relative to this
• Stacey Weeks with our Medicaid Division, as she has all of the financial information relative to this
• The general fund impact of this new model of care, which is meant to be a temporary model, a group home
• It looks like more of a cost for Medicaid. It looks like more of a cost for Medicaid.
• It requires Medicaid to request federal authority to provide certain reimbursement rates.

Bills: AB49, AB93, AB108, AB169, AB188, AB212, AB221, AB224, AB251, AB282, AB284, AB296, AB304, AB331, AB356, AB366, AB375, AB409, AB467, AB475, AB476, AB479, AB494, AB514, AB515, AB533, AB542, AB550, AB558, AB567, AB568, AB571, AB581, AB583, AB584, AB585, AB595, AB596, AB597, SB170, SB427, SB460, SB508

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, public employees, police officers, benefits, appropriation, law enforcement, outdoor education, recreation, grant program, environment, funding, health insurance, speech-language pathology

Transcript Highlights:

• bill does not cut Medicaid. bill does not cut Medicaid.
• Medicaid and SNAP. Medicaid and SNAP.
• to Medicaid to Medicaid and<03:09:13.200> SNAP.
• Medicaid and SNAP. Medicaid and SNAP.
• Medicaid Medicaid and<03:25:51.840> SNAP.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, July 2, 2025, 1012, house, all

Transcript Highlights:

• I'm just worried about creating more temporary status employees. My concern.
• I'm just worried about creating more temporary status employees. Further debate.
• This eliminates discriminatory coverage limitations based solely on epilepsy.
• This eliminates discriminatory coverage limitations based solely on an epilepsy diagnosis.
• Coverage applies only within scope of state employment.

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Summary: The Senate began with a quorum call, gallery introductions, and extended farewell remarks from Senator Jett, who reflected on his six years in the Legislature, his focus on representing constituents, protecting families, and holding government accountable. Several senators responded with personal tributes, praising his conviction, faith, family involvement, and willingness to ask difficult questions. No votes were taken during the farewell portion. The chamber then considered House Bill 2268, a PACE appropriation to support comprehensive care for low-income seniors and expand services in rural Oklahoma. The bill was amended to restore the title, advanced, and passed 34-9, then passed as an emergency measure 36-7. House Bill 3000, a cosmetology and barbering measure, made multiple changes including board reorganization, adding a human trafficking specialist and massage therapist, shifting some licensing functions to Service Oklahoma, and eliminating the massage therapy advisory board. It drew significant debate over process and policy, especially from senators concerned about late changes, lack of board input, and the human trafficking rationale; it passed 25-19 and then as an emergency 33-11. The Senate also passed House Bill 3043, allowing the Oklahoma Department of Veterans Affairs to hire prorated seasonal staff for veterans homes, 37-6; House Bill 3066, creating a revolving fund for federal workforce training money for behavioral health recruitment and retention, 38-6 and as an emergency; and House Bill 3078, allowing donation options on state payment forms for the ODVA revolving fund, 45-0 and as an emergency. Additional measures passed included House Bill 3143, extending the moratorium on new medical marijuana business licenses to 2028, 39-7; House Bill 3144, capping medical marijuana commercial grower licenses at 2,550 after amendment, 34-12; House Bill 3244 on identity theft, 46-0; House Bill 3298 on child interview procedures in court cases, 46-0 and as an emergency; House Bill 3320, replacing the traditional sunset process with more immediate legislative review of agencies, 33-13 and as an emergency; House Bill 3321, requiring county data collection and reporting related to court costs and financial obligations, 45-0 and as an emergency; House Bill 3329, a trailer bill adding a repealer and a sunset for the Board of Psychological Examiners, 33-10 and as an emergency; House Bill 3431, expanding restrictions on foreign entities owning or leasing land and critical minerals, 43-0; House Bill 3464, setting safety and training requirements for certain projects involving fire code compliance and decommissioning, 43-0 and as an emergency; and House Bill 3499, expanding special judges’ authority over vehicle title orders, which was presented and advanced as the transcript ended.

Transcript Highlights:

• They can be domiciled in the state that's issuing it, their temporary lawful residence.
• They're temporary lawful residence. It will say limited term on the license as well.
• ICE's use of Medicaid data will cause widespread fear among immigrant families, keeping them from seeking
• Prop 314 requires state and local agencies that provide benefits like Medicaid, access, food stamps,
• and unemployment to verify the immigrant... ...like Medicaid access, food stamps, and unemployment to

Bills: SB1232, SB1421, SB1505, SB1511, SB1520, SB1803

Keywords: outdoor advertising, military compatibility, zoning, electronic signage, permitting, undocumented immigrants, financial services, identification requirements, loans, foreign remittances, transitional housing, military, veterans, grant program, supportive services, SB1511, commercial driver license, CDL, nondomiciled CDL, nondomiciled commercial driver license

Bills: HB2139, HB1892, HB1893, HB1890, HB2335, HB2468, HB2091, HB2092, HB1878, HB2297, HB2127, HB1785, HB2345, HB2344, HB1780, HB1891, HB2398, HB1764, HB2564, HB1783, HB2567, HB1934, HB1778, HB1781, HB2621, HB2019, HB1803, HB2454, HB1811, HB1943, HB1589, HB1607, HB1851, HB2490, HB2546, HB2568, HB1972, HB2391, HB2575, HB1896, HB2399, HB2004, HB1894, HB2397, HB2498, HB2560, HB2310, HB2214, HB2167, HB2197, HB2116, HB1879, HB1596, HB2096, HB2298, HB2343, HB2566, HB1518, HB2044, HB2336, HB1603, HB1718, HB1740, HB1616, HB2171, HB2022, HB2347, HB1882, HB1708, HB2086, HB2154, HB2027, HB2179, HB1620, HB1913, HB2159, HB1597, HB2121, HB1864, HB2305, HB2576, HB1713, HB1729, HB1756, HB2122, HB2559, HB1743, HB1733, HB1868, HB1723, HB1711, HB1812, HB2515, HB1724, HB1604, HB2270, HB1722, HB1727, HB1920, HB1593

Keywords: invasive species, Queensland longhorn beetle, agriculture, environmental impact, University of Hawaii, Board of Education, Hawaii public schools, teacher representative, nonvoting member, bargaining unit 5, HSTA, teachers union, education governance, school board, executive session, collective bargaining, public school teacher, policy-making body, student representative, military representative

Transcript Highlights:

• I urge you to support this temporary... ...and fundamental to maintaining access to trusted local news
• , I urge you to support this temporary bridge tax credit to give newspapers time to adjust their business

Bills: SB251, SB150, SB154, SB73, SB111, SB172, SB76, SB181, SB235

Keywords: horse racing, program training, program owning, state licensing, racehorses, regulation, local news, newspaper printing, journalism, media tax credit, print media, digital news, news publisher, newsprint, press operator, printing industry, local journalism, tax credit, income tax, corporate income tax

Bills: SB251, SB150, SB154, SB73, SB111, SB172, SB76, SB181, SB235

Keywords: horse racing, program training, program owning, state licensing, racehorses, regulation, local news, newspaper printing, journalism, media tax credit, print media, digital news, news publisher, newsprint, press operator, printing industry, local journalism, tax credit, income tax, corporate income tax

Bills: SB251, SB150, SB154, SB73, SB111, SB172, SB76, SB181, SB235

Keywords: horse racing, program training, program owning, state licensing, racehorses, regulation, local news, newspaper printing, journalism, media tax credit, print media, digital news, news publisher, newsprint, press operator, printing industry, local journalism, tax credit, income tax, corporate income tax

Transcript Highlights:

• And I guess my question is, are y'all able to get insurance coverage for those types of activities?
• In the event that we can't find reasonable premiums for insurance or if the coverage is lacking.
• And so really it's the ERCOT region that has this temporary issue that needs to... ...providers.
• And so really it's the ERCOT region that has this temporary issue that needs to be addressed.
• and so really it's the ERCOT region that has this temporary issue that needs to be addressed.

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

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

Summary: The committee first handled pending business, including reconsidering SB 715 and then voting out several measures. The committee substitute for SB 1978 was reported favorably, and HB 431, HB 1522, HB 1922, HB 3228, HB 3229, HB 3803, HB 3804, HB 3805, HB 3806, HB 4219, HB 4238, HB 434, HB 1584, and HB 4739 were all reported favorably, many with objections sent to the local and uncontested calendar. HB 1522 and HB 4238 were adopted as committee substitutes before passage. The committee then moved into public testimony on HB 2963, a right-to-repair bill for consumer electronics. Supporters argued it would reduce waste, lower costs, and help independent repair shops by requiring manufacturers to provide parts, tools, and information on fair terms, while opponents said the bill was too broad and the automotive MOU exemption was problematic. The bill was left pending after testimony. The committee also heard HB 2467, which would align State Fire Marshal Office investigators’ pay with other commissioned peace officers at TDI; testimony was strongly supportive, emphasizing the office’s arson-investigation role, and the bill was left pending. HB 252, a bill allowing certain state agencies flexibility to pay Schedule A employees twice monthly, was laid out and left pending after limited testimony. HB 2468, dealing with public improvement district notice in real estate transactions, would let buyers terminate within seven days if required PID notice was not provided before contract execution; it drew no public testimony and was left pending. HB 4386, an annuity exchange and surrender process bill, was presented as a consumer-protection measure with deadlines and penalties for insurer delays; it received support from industry witnesses and was left pending. The committee then heard HB 4751, creating the Texas Quantum Initiative within the Governor’s Office to coordinate quantum research, workforce, industry partnerships, and possible future grant funding. Witnesses from universities and industry supported the bill, while several senators questioned whether a new state structure was necessary; the bill was left pending. HJR 175 proposed a constitutional amendment protecting Texans’ right to use mutually agreed forms of exchange, including cash, bullion, digital currency, or private script, and was discussed at length in the context of central bank digital currency and barter; it was left pending after testimony. HB 2221, updating insurance anti-rebating laws to allow wellness and value-added services, drew supportive testimony from the insurance industry and discussion about incentives versus monitoring; it was also left pending. Finally, the committee heard a series of utility wildfire and infrastructure bills: HB 106, requiring oil and gas operators to maintain certain electrical infrastructure near well sites; HB 144, requiring electric utilities to submit pole inspection and management plans to the PUC; and HB 145, requiring wildfire mitigation plans and allowing self-insurance under certain conditions. Utility, insurance, and cooperative witnesses generally supported the wildfire-related bills while asking for clarifications and less burdensome reporting, and the bills were left pending.

Transcript Highlights:

• with the best premium that has the highest chance of paying my beneficiaries the amount I’m buying coverage
• In the event that we can't find reasonable premiums for insurance or if the coverage is lacking.
• And so really it's the ERCOT region that has this temporary issue that needs to be addressed.
• consumers from an insurer's ability to use misrepresentations or misstatements as a means to avoid coverage
• consumers from an insurer's ability to use misrepresentations or misstatements as a means to avoid coverage

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

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

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

Transcript Highlights:

• > pumps The internal pumps, related mechanical pumps alone, doing so would only provide a temporary

Bills: HF343, HF446, HF448, HF674, HF811, HF832, HF1661, HF1528, HF1536, HF1541, HF1670, HF1438, HF1714, HF1748, HF1835, HF1904, HF1929, HF1942

Keywords: HF343, Chisago County, Shorewood Park Sanitary Sewer District, Rush Lake, sewer extension, wastewater infrastructure, sanitary sewer, treatment pond, sewage treatment, capital investment, bonding bill, state bonds, Public Facilities Authority, local infrastructure, municipal utilities, water quality, sanitation, bond proceeds fund, Minnesota bonding, HF446

Transcript Highlights:

• This bill creates a Medicaid-funded long-term care option that sounds expensive.
• Chair and Senator Leach, there's a couple different income limits to qualify for Medicaid.
• Arizona is far behind other states in seeking Medicaid waivers for SMI assisted living.
• Please support this bill. and seeking Medicaid waivers for SMI assisted living.
• We don't need temporary fixes.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Transcript Highlights:

• The second one is a temporary leaseback during a property sale, which is at 90 days or less.
• We'll read the bill Senate bill 1577 by Parker relates a temporary sale of alcoholic beverages at certain
• HB 426 by Bernal relating to Medicaid and child health plan program coverage and reimbursement. for childhood
• HB 2563 by Ashby relating to the establishment of the temporary prescribed burn manager, self insurance
• Speaker, Members, House Bill 4273 expands and clarifies the list of unlawful acts. under the Medicaid

Bills: HJR34, HB 113, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB576, HB632, HB1395, HB2225, HB2582, HB2494, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB3609, HB5032, HB2240, HB5180, HB3348, HB4668, HB4909, HB4665, HB4895, HB3395, HB3157, HB4762, HB4395, HB4325, HB4952, HB4386, HB4273, HB2760, HB2697, HB2820, HB1828, HB1768, HB1579, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HCR126, HB38, HB 104, SB1008, SB1106, SB1172, SB2629, SB2964, SB616, HB2214, SB552, HB3181, HB3628, HB589, HB3529, HB3354, HB333, HB2914, HB4130, HB4131, HB24, HB 1160, HB3962, HB4115, HB2295, HB5398, HB1407, HB3800, HB2613, HJR138, HB42, HJR34, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HB 113, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB576, HB632, HB1395, HB2225, HB2582, HB2494, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB3609, HB5032, HB2240, HB5180, HB3348, HB4668, HB4909, HB4665, HB4895, HB3395, HB3157, HB4762, HB4395, HB4325, HB4952, HB4386, HB4273, HB2760, HB2697, HB2820, HB1828, HB1768, HB1579, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HCR98, HCR92, HCR126

Keywords: HJR 34, constitutional amendment, Texas Constitution, ad valorem tax, property tax exemption, real property, border counties, U.S.-Mexico border, United Mexican States, border security, border security infrastructure, landowner, county tax base, local government, tax relief, property value increase, infrastructure improvements, voter approval, November 2025 ballot, statutory construction

Transcript Highlights:

• those numbers go up to well over 70,000, particularly after the rescission of the ARPA support for Medicaid
• For elections pertaining to the adoption of the police member coverage plans for current public safety
• This is a temporary pause, just so we know that, and it's effective five... PM today.

Transcript Highlights:

• was a period of four or five months uh in uh early 2023, late 22 and early 23 where I was the uh temporary
• was a period of four or five months uh in uh early 2023, late 22 and early 23 where I was the uh temporary
• They do serve every part of the rural area through the coverage that their foundations have.
• that their foundations the coverage that their foundations have.<00:12:18.480> Uh<00:12:18.800
• Potentially, you know, directly impacting our Medicaid dollars.

Keywords: 1183, house

Summary: The committee met on March 4, 2026, and focused almost entirely on an update and oversight discussion of the Promise Act, including its grant and loan programs. The chair opened by explaining that the committee wanted to better understand how the 2023 law was implemented, how funds are still being deployed in greater Minnesota and the metro, and whether adjustments made in 2024 and 2025 were working as intended. The minutes from March 3 were approved at the start of the meeting. Deputy Commissioner Kevin McKinnon of DEED outlined the program’s legislative history, funding structure, eligibility rules, and oversight process. He said the grant side has about $94 million available, with $16 million going to the Minnesota Initiative Foundations and $86 million to the Neighborhood Development Center, plus administrative and technical assistance set-asides. He noted legislative changes over time, including shifting the revenue eligibility test to the prior year, adding a home-office deduction requirement for businesses using a home address, and maintaining a preference for applicants who had not received more than $10,000 in prior state assistance. McKinnon said about $22 million had been awarded to 35 businesses at the time of the update, and that the loan program has $30 million appropriated, with about $9.5 million lent so far. He also described the application, verification, audit, and payment process, emphasizing that partners handle intake and DEED conducts final review and random audits. Shahir Ahmmed of the Neighborhood Development Center described the round-one and round-two grant process in more detail. He said NDC spent about nine months building the application platform, launched round one in June 2024, received more than 3,000 applications, and later paused awards while DEED and legislators clarified the law. He reported that 651 applications were approved in the first round for just under $9 million, and that round two launched in September 2025 with a goal of distributing up to $50 million in remaining grant funds. Ahmmed also explained the step-by-step applicant process, including email confirmation, eligibility screening, document upload, identity verification through Plaid, and final DEED review. He said applicants commonly use funds for payroll, equipment or inventory, rent, and utilities. The chair indicated there would be further testimony from other program partners and then member questions, but no votes or formal actions were taken on the Promise Act itself during this portion of the meeting.

Transcript Highlights:

• Boyer, provides for temporary restraining orders and protective orders, and conduct that constitutes
• Madam Clerk, Senate Bill 275 by Senator Myers provides for insurance coverage of health care services
• Madam Clerk, Senate Bill 275 by Senator Myers provides for insurance coverage of health care services
• House Bill 766 by Representative Freeman provides for health insurance coverage of orally administered
• It was a meaningful law because of certain categories of coverage for high-deductible health plans.

Bills: HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, SB83, SB143, SB155, SB228, SB283, SB295, SB338, SB388, SB408, SB431, HR84, HR188, HR205, HB302, HB597, HB819, HB1257, HB1258, SCR24, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB357, SB406, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HR9, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB301, HB359, HB657, HB675, HB680, HB727, HB79, HB251, HB625, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, HB646, HB824, HB341, HB682, HB766, HB926, HB998, HB1051, HB1080, HB1201, HB1223, HB603, HB940, HB1191, SB47, HB901, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, SB149, SB382

Keywords: condolences, memorial resolution, House Resolution, Shreveport, children, tragedy, sympathy, bereavement, tribute, mourning, schoolchildren, public charter school, elementary school, Head Start, family loss, Louisiana House of Representatives, condolence resolution, House resolution, victims, family support

Transcript Highlights:

• Employer-sponsored coverage? Did you get your plan on the ACA? Are you on Medicaid?
• from top to bottom what the impact of that coverage is for state employees, for the Medicaid and Medicaid
• In any given month, nearly one in seven North Dakotans will have health care coverage through Medicaid
• or CHIP, and one in every four children under the age of 19 has health care coverage through Medicaid
• They reported difficulty with claims when Medicaid is not the primary coverage, as well as distrust of

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.