Video & Transcript : 'payment reimbursement' :

Page 59 of 500
LA

Louisiana 2026 Regular Session

Appropriations Mar 4th, 2026

Appropriations

Transcript Highlights:
  • North Louisiana for the payment of those.
  • Department of Veterans Affairs for patient and reimbursement care.
  • The reimbursement and stuff is just not there. That the reimbursement and stuff is just not there.
  • I can't speak to the process or the reimbursement.
  • I can't speak to the process and/or the reimbursement.
Keywords: 965, house, all
CA
Transcript Highlights:
  • As such, the facilities that choose to accept Medi-Cal payments from these programs should also be limited
  • with the Medi-Cal fee structure as payment in full for the care provided.
  • Someone in Tier 1 is going to have a very difficult time because that facility will only be reimbursed
  • That facility will only be reimbursed about $93 a day, but someone at Tier 4, the facility will be reimbursed
  • So just from Medi-Cal reimbursement, $8,880.
Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • Medicare and Medicaid, which reimburse at 100%.
  • They're not receiving reimbursement to sustain their business.
  • So this is not about us trying to get more reimbursement for our salaries.
  • or the rate of reimbursement.
  • , is a very complex billing and reimbursement for anesthesia services.
Keywords: 995, all
Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.
ID

Idaho 2026 Regular Session

Agenda Jan 21st, 2026

Transcript Highlights:
  • So first, that's going to include $4.7 million increase in claim to reimbursements actually submitted
  • At the time of addition, a number of years ago, that seven and a half reimbursements.
  • Instead, some schools utilize portions of their support unit dollars for those payments.
  • Instead, some schools utilize portions of their support unit dollars for those payments.
  • Right now the reimbursements are capped at $150 for LEAs.
Summary: The committee received a detailed JFAC presentation on the K-12 public school support budget from Legislative Services analyst Kellan McGurkin, followed by testimony from Superintendent Debbie Critchfield. McGurkin reviewed how Idaho’s school funding formula works, including support units, staff allowance, career ladder salary funding, discretionary funding, health insurance, transportation, facilities, and the Public Education Stabilization Fund. He explained the FY 2026 revised budget, including a reduction in projected support units and an ongoing $22.3 million general fund rescission, and then walked through the FY 2027 request and the Governor’s recommendation. Major FY 2027 items included health insurance adjustments, transportation growth, federal fund authority, and proposed one-time special education initiatives: a $5 million high-needs fund and a $1 million regional service model, both tied to interest or transfers from other funds. The Governor also recommended eliminating or reducing some items, including virtual school-related payments and a reduction to Idaho Digital Learning Academy funding, which would lower the general fund request compared with the agency proposal. Critchfield framed the budget around enrollment trends, shifting student populations, and the need for flexibility in how districts use existing dollars. She highlighted gains in literacy, graduation rates, dual credit and career technical participation, and said the department wants more categorical flexibility for professional development, technology, and digital content funds so districts can redirect unused money to higher priorities such as literacy or special education. She also described the Idaho Career Ready Students grant as having created 170 new programs and said remaining funds are obligated. On special education, she said costs are growing faster than current funding and argued for a bridge solution while broader funding issues are addressed; she also said the department is pursuing a regional service-center model to help rural districts share hard-to-fill specialists. Critchfield additionally outlined planned federal waivers on assessments and flexibility, and said the state is seeking more control over education decisions. Committee members focused heavily on funding mechanics, especially whether career ladder and health insurance money is distributed per teacher or through support units, how discretionary funds are used, why insurance amounts in the budget book differed from current projections, and whether districts can use leftover health insurance dollars for other purposes. Members also questioned the proposed special education funding, the use of interest earnings from dedicated funds to support the general fund, the size and use of school contingency balances, and whether the state should revisit the funding formula itself. No votes were taken during this portion of the meeting; the discussion remained in presentation and questioning, with several follow-up requests for data and clarification.
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 03/04/26

Jobs and Economic Development

Transcript Highlights:
  • Nonprofits can elect to be reimbursing employers, and the tribal entities are all reimbursing employers
  • Uh, we make payments daily, but reimbursements and uh tax collections are done quarterly.
  • ><c> but</c> we make payments daily but we make payments daily but reimbursements<00:08:59.920><c> and
  • of the payment, right?
  • </c> payment left the building, so to speak. payment left the building, so to speak.
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am

Joint Committee on Financial Services

Transcript Highlights:
  • Such arbitrage creates very generous reimbursements for 340B contract pharmacies and others.
  • It creates a reimbursement floor based on the prescription drug payment formula currently used by the
  • They did pharmacy right, but they weren't reimbursed for it.
  • Low-income and vulnerable patients receiving lower payments overall.
  • Treatments with clear benefit are reimbursed at higher prices.
Keywords: 995, all
Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 May 12th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • rates, and how to get payment rates really fair.
  • It's reimbursements.
  • On the reimbursement account, he still gets it and the medical reimbursement, but what they don't get
  • State-directed payments are not new.
  • Directed payments—that's going to make a huge difference.
MN

Minnesota 2025-2026 Regular Session

Personal care assistance and community first services and supports 3/10/26

Minnesota House Floor Meeting

Transcript Highlights:
  • </c> the state is paying higher reimbursement the state is paying higher reimbursement rates<00:09:19.760
  • Um, you know, it's reimbursement rates.
  • Very few take any other payment source because cash payment is really hard to, um, frankly, get right
  • ><c> cash</c><00:32:34.480><c> payment</c><00:32:34.880><c> is</c> payment source because cash payment
  • is payment source because cash payment is really<00:32:35.360><c> really</c><00:32:35.600><c> hard</
Keywords: 1183, house
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Jan 15th, 2025

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • The PACE organizations are paid a monthly per-member, per-month capitation payment.
  • The upper payment limit, referred to as a UPL, is the maximum upper payment limit for PACE organization
  • We always pay below the upper payment limit, and that's actually a CMS regulatory requirement.
  • That is the cap, and CMS requirements require the PACE payments to be below that UPL cap.
  • facility payment of $1,722.43, to appropriately cover dental procedures.
Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/18/26

Taxes

Transcript Highlights:
  • </c> um get high reimbursement um get high reimbursement for<00:23:52.560><c> the</c><00:23:52.640><c
  • </c><00:24:49.080><c> So,</c> uh that are low reimbursed services.
  • So, uh that are low reimbursed services.
  • ,</c> like the lack of adequate reimbursement, like the lack of adequate reimbursement, increased<00:
  • So, we have 70% government reimbursement So, we have 70% government reimbursement,<01:25:13.080><c>
Bills: HF4343
Committee: House Taxes
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2025-04-09

Human Services Finance and Policy

Transcript Highlights:
  • On line 314 and below, this is where the governor's nursing facility payment system changes items come
  • Line 482 is a no-cost item that to direct payments to tribal nations and counties, which is included.
  • Related to nursing facility payment rates, on line 558, House File 2406, one-time costs for mid-choices
  • It subjects DWRS payments to MA sanctions and monetary recovery requirements.
  • From receiving behavioral health fund payments.
Bills: HF2434
LA

Louisiana 2026 Regular Session

Appropriations Mar 16th, 2026

Appropriations

Transcript Highlights:
  • managed care payments have decreased.
  • And then we're able to set up payment arrangements with them.
  • This is payments toward the private providers.
  • case mix index to a patient-driven payment model.
  • How much supplemental payment? 4.4-ish billion. Okay.
Keywords: 965, house, all
LA

Louisiana 2026 Regular Session

Finance May 18th, 2026

Finance

Transcript Highlights:
  • And if they're successful— ...reimbursed enough to go through this process.
  • rates and payment denials from health plans.
  • And I think we're talking about reimbursement, which is, if you read the conversation about the doctors
  • That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
  • That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
Bills: HB12 , HB145 , HB222 , HB291 , HB430 , HB821 , HB874 , HB909 , HB951 , HB979 , HB1193
Committee: Senate Finance
FL

Florida 2025 Regular Session

Appropriations Apr 2nd, 2025

Transcript Highlights:
  • All families to verify continued eligibility prior to each payment.
  • As you'll see, we are talking about a payment cycle of every six weeks.
  • We do monthly payments, but we frontload and give a two-month payment on the front end to homeschooling
  • Give a two-month payment on the front end to homeschooling families.
  • It requires the Department to develop a reimbursement invoicing system.
Keywords: 999, senate, all
FL

Florida 2026 4th Special Session

January 20, 2026 - 01:00 PM

Transcript Highlights:
  • There must be criteria and proof of attendance for payment to providers.
  • payments.
  • payments.
  • Are we making sure we're verifying those attendance and those payment procedures, that payment validation
  • And then a payment can be made out based on that verified attendance.
Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.
MO

Missouri 2026 Regular Session

Budget Jan 14th, 2026 at 09:30 am

Budget

Transcript Highlights:
  • That's the lottery payment there. Page 51, state road fund.
  • Some of it will be used to reimburse some state expenses.
  • That would also be a 75% reimbursement.
  • That would also be a 75% reimbursement.
  • We will not get reimbursement on that.
Committee: House Budget
Keywords: 959, house, all
LA

Louisiana 2026 Regular Session

Insurance Apr 29th, 2026

Insurance

Transcript Highlights:
  • This instrument provides relative to the method of dental reimbursement or payments, to provide for definitions
  • This instrument provides relative to the method of dental reimbursement or payments, to provide for definitions
  • The dentist has to opt into that payment method.
  • no less than it would reimburse for that same service if personally performed by a physician.
  • Pharmacies can't predict reimbursement. It masks underpayment and makes auditing difficult.
Committee: House Insurance
Keywords: 965, house, all
ND

North Dakota 2026 1st Special Session

Administrative Rules Committee Jun 11th, 2026

Administrative Rules Committee

Transcript Highlights:
  • The revised rule now allows for additional payment methods to team members, such as payroll adjustments
  • of medical expenses made. where a provider who has been denied reimbursement of medical expenses may
  • of medical expenses and to specify when payment on a request for reimbursement of the medical expenses
  • The section also provides that the department shall issue a payment for reimbursement of medical expenses
  • and payment complies with this section and is within the limits of appropriated funds.
Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.
CA
Transcript Highlights:
  • Public hospitals rely heavily on supplemental payments.
  • Health centers will continue to provide care, but without reimbursement.
  • Second, supplemental payments are not mere bonuses for rural hospitals.
  • Those mechanisms are how California stabilizes Medi-Cal reimbursement.
  • My quick, quick answer is a payment...
Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.
ND

North Dakota 2025-2026 Regular Session

Administrative Rules Committee Jun 11th, 2026

Transcript Highlights:
  • The revised rule now allows for additional payment methods to team members, such as payroll adjustments
  • of medical expenses made. where a provider who has been denied reimbursement of medical expenses may
  • of medical expenses and to specify when payment on a request for reimbursement of the medical expenses
  • The section also provides that the department shall issue a payment for reimbursement of medical expenses
  • if the request and payment complies with this section and is within the limits of appropriated funds
Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.