Keywords: 910, house, all

Transcript Highlights:

• At least as it relates to this, you're, I think, flying blind. You don't have the information.
• And the only thing that hasn't been done is some sort of double-blind randomized study, because you can't
• it seriously and stop looking at some of the misinformation that's being put out there and not be blinded

Keywords: 1189, house, all

Transcript Highlights:

• <01:00:58.319> Bunch<01:00:58.559> of<01:00:58.640> blinds.
• Bunch of blinds. Thank you, Miss Harris. Bunch of blinds.

Keywords: 1187, senate, all

Transcript Highlights:

• ><03:28:02.199> a asking why are Republicans turning a asking why are Republicans turning a blind
• > to<03:28:03.479> their<03:28:03.760> responsibility<03:28:04.600> to blind
• eye to their responsibility to blind eye to their responsibility to look<03:28:04.960> out<03

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, March 5, 2025, 1012, house, all

Transcript Highlights:

• 00:34:39.159> individuals<00:34:40.040> who<00:34:40.240> are<00:34:40.520> blind
• <00:34:40.960> DEA you know individuals who are blind DEA you know individuals who are blind

Keywords: 928, house, all

Summary: The committee first heard from the Personnel Appeals Board, which explained that it became an independent state agency after Senate Bill 487 and was presenting its first standalone operating budget. The board described its quasi-judicial role in hearing appeals from classified state employees over disciplinary actions such as warnings, suspensions, and terminations, and said it handles about 25 to 35 cases a year, with some cases lasting longer because of their complexity. Members also outlined the need for a chair and vice chair who are attorneys, the board’s current staffing and space needs, and its plan to move away from reliance on Administrative Services for office support and website functions. The board requested about $353,500 for fiscal year 2026, including startup costs, routine operating expenses, and two new part-time positions: a program director and a paralegal. Members said the budget reflects the new independent status, includes funding for only four board members rather than the authorized five, and is designed to avoid full-time staffing costs and benefits. Legislators asked about the cost per case, the board’s relationship to DAS, whether appeals must go through the board before court, and how often cases are appealed further. The board said appeals must first go through it, that court appeals are infrequent but have increased recently, and that the board’s process is intended to resolve disputes more quickly and less expensively than court litigation. Committee members also asked about the board’s caseload, outcomes, and staffing. The board said that in the prior year there were 22 cases, with four decisions overturned in favor of employees, nine dismissals, and nine settlements, and that many disputes are resolved before reaching the board through a multi-step internal process. A member noted the governor and council had recently approved a new board member and were expected to approve a fifth soon. The discussion ended with questions about the board’s website and records access, which members said would need to be moved from Administrative Services as part of the agency’s transition. The committee then moved to the New Hampshire Council on Developmental Disabilities. The executive director explained that the council is 100 percent federally funded under the Developmental Disabilities Assistance and Bill of Rights Act and develops a five-year plan to address the needs of people with intellectual and developmental disabilities. She said the council works with state agencies and advocacy organizations on quality-of-life issues, accessibility, voter rights training, and plain-language or easy-to-read materials, and that 60 percent of its membership must be individuals with disabilities or family members/guardians. She also described the council’s funding structure, including reimbursement to the state for operating costs, and noted that it currently has three full-time and three part-time positions, with no new positions requested but one full-time position being eliminated and replaced after a pandemic-era staffing change did not work out as planned.

Transcript Highlights:

• everybody is scared to say something to him DOD is robbing Us him DOD is robbing Us him DOD is robbing Us blind
• and when it happened everybody blind and when it happened everybody blind and when it happened everybody

Bills: SB 26, SB 28, SJR 36, SB 616, SB 565, SB 384, SB 28, SB 28, SR 131, SR 168, SR 174, SR 175

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, lottery, gambling, internet gaming, mobile application, criminal offenses, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement

Transcript Highlights:

• and Trump look lives while Republicans and Trump look with<02:05:06.599> a<02:05:06.760> blind
• c> eye<02:05:08.000> musk<02:05:08.559> exploits<02:05:09.159> the with a blind
• eye musk exploits the with a blind eye musk exploits the system<02:05:09.960> for<02:05:10.119

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, February 13, 2025, 1012, house, all

Transcript Highlights:

• So this program is for seniors, blind, and disabled homeowners that are deferring their current-year

Keywords: 987, senate, all

Transcript Highlights:

• We cannot turn a blind eye to these crimes.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 24, 2026, 1012, house, all

Transcript Highlights:

• can spread disease in the absence of symptoms, which is extremely important because this is a huge blind

Keywords: 995, all

Summary: The committee hearing began with opening remarks from the House and Senate chairs outlining procedures for a large public hearing with more than 100 witnesses on 64 legislative proposals. They explained time limits, rules for in-person and virtual testimony, written testimony procedures, and the committee’s reporting deadline. Testimony then moved through a series of juvenile justice, child protection, and civil liberties bills, with witnesses generally urging favorable reports or, in one case, opposing expanded juvenile court transparency and child advocate access to records. Several witnesses supported bills aimed at juvenile justice reform. Representative Hendricks backed H. 1744 to prevent child labor exploitation and trafficking, citing federal findings of child labor in seafood processing and calling for stronger penalties and a ban on minors working in such facilities. Senator Gomez supported S. 1131 and S. 1121 to reduce juvenile fees, fines, restitution burdens, and bail-related costs, arguing they worsen racial and economic disparities. Senator Crean and other advocates supported S. 1051/H. 1695 to expand juvenile diversion eligibility, while multiple witnesses from juvenile justice and immigrant advocacy groups supported H. 1657/S. 1058 to expand juvenile expungement and to limit sharing juvenile fingerprints with federal authorities, describing recent ICE detentions of Chelsea students and the resulting fear in immigrant communities. Witnesses also supported H. 1918/S. 1240 to narrow the youthful offender statute, raising the minimum age and reducing mandatory adult-style penalties for youth. The committee also heard testimony on child safety and bodily autonomy bills. Middlesex District Attorney Marion Ryan supported H. 1752 to protect children left in extreme temperatures, explaining it would create civil penalties, allow emergency responders to remove children from cars without liability, and add criminal penalties when serious injury results. Representative Thurber and Senator O’Connor testified for H. 2011/S. 1227, a bill prohibiting coercion or mandates for health-related interventions, including vaccinations, and allowing legal remedies for violations. Senator Jalen supported S. 1136/H. 1847 to prevent false confessions by requiring recording of interrogations and banning deceptive tactics, and several innocence-project and legal-services witnesses described wrongful convictions tied to false confessions and coercive interrogations. Another major topic was H. 1626, which would require age verification for pornographic content and launch an education campaign about online sexual exploitation; Representative Cruz and survivor Udoz Wallace testified in support, describing nonconsensual image sharing and deepfake harms. Not all testimony was supportive. The Committee for Public Counsel Services opposed S. 1035, which would increase transparency in juvenile court proceedings, and H. 1689, which would expand the child advocate’s access to confidential juvenile records, arguing both would undermine privacy and trauma-informed protections for children and families. No votes or formal committee actions were taken during the portion of the hearing provided; the session consisted of opening remarks and public testimony on the listed bills.

Transcript Highlights:

• And I think once we see the—I'm flying blind. I know, I know, I know.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• And I think once we see the—I'm flying blind, I know, I know, I know—but once we get the new amendments

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• The bill ensures that families of students who are deaf, hard of hearing, blind, or visually impaired

Keywords: 987, senate, all

Summary: The Senate opened with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then handled routine matters and confirmations, including Julia Montgomery as General Counsel for the Agricultural Labor Relations Board, Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. All of those appointments were confirmed, with some no votes from a few members on the education and legal confirmations. The chamber also adopted several resolutions, including SR 111 on the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia; SCR 129 naming part of Highway 152 the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women’s Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. Senators spoke in support of fairgrounds as community, agricultural, and emergency-response assets. The Senate also welcomed Cal Lutheran University students, faculty, and staff to the gallery. A large number of policy bills were then taken up and mostly passed, covering procurement, elections, education, privacy, housing, transportation, labor, and health care. Among the measures approved were SB 1154 on best-value procurement for community college projects, SB 1369 on judicial recall safeguards, SB 1048 creating a climate literacy seal, SB 1106 shortening data broker deletion timelines, SB 1408 authorizing a Contra Costa transportation tax measure, SB 1172 on local tax-sharing transparency, SB 1383 protecting local labor standards in density bonus projects, SB 1223 on competitive bidding at fairs, SB 1344 extending anti-SLAPP protections to certain housing-related projects, SB 1371 limiting solid waste contract force majeure clauses during labor disputes, SB 908 on residential window replacement permits, SB 1272 on remedies for preexisting home code violations, SB 1406 targeting the “Montana tax loophole,” SB 1238 on HOA transparency, SB 868 on plug-in balcony solar, SB 903 restricting unlicensed AI psychotherapy advertising, SB 950 on early-onset Alzheimer’s coverage, SB 874 on Medi-Cal behavioral health oversight, SB 1049 on corrected health care claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 959 on wildfire-related school closures, SB 988 on auto glass insurance practices, and SB 1000 on AI content transparency. Most passed on largely party-line or near-unanimous votes, with a few dissenting votes from members who objected to procurement, labor, privacy, or tax-related provisions.

Transcript Highlights:

• Blind, motion to table or objection is out of order. Madam Clerk, next bill.

Bills: HR223, HR224, HR225, HR226, HR227, HR228, HR229, HR230, HR231, HR232, HR233, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SB259, SB347, SB398, SB469, SB483, SB518, HR37, HCR64, SCR11, SCR22, HB89, HB341, HB451, HB456, HB541, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1165, HB1191, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB123, SB125, SB387, SB401, HB730, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, HR171, HCR49, HCR65, HCR72, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR32, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB459, HB617, HB804, HB926, HB225, HB955, HB901, HB79, HR20, HR74, HB59, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1069, HB1113, HB1180, HB1203, HB1234, HB1240, SB89

Keywords: Southern Soul, Shreveport, tourism, economic development, cultural preservation, music history, Paul Hollis, United States Mint, Louisiana House of Representatives, commendation, honorary resolution, ceremonial resolution, public service, State Board of Elementary and Secondary Education, BESE, former legislator, Louisiana politics, recognition, tribute, House Resolution 224

Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.

Transcript Highlights:

• So I want to ask you a question: Would you ask a blind person to try to see harder?

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• So I want to ask you a question: Would you ask a blind person to try to see harder?

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• Justice should be blind.

Keywords: In an effort to stave off issues that may occur with long format live streams, we have split this stream into two parts., 958, all

Transcript Highlights:

• Does the ACLU want to keep teachers blind to the fact that the student didn't do anything?

Keywords: 1182, all

Summary: The committee began with brief announcements and thanks to staff and members as this was described as the last regular House Education Committee meeting of the 57th Legislature. Chad Heinrich of the University of Phoenix invited members to an upcoming lunch-and-learn on artificial intelligence and education. The chair and ranking member both offered closing remarks recognizing staff, pages, and public testimony over the session. The committee then heard SB 1497, which requires school districts with at least 300 employees and a self-insurance program to seek quotes for health coverage and related services at least every four years, with some exceptions for certain self-insurance arrangements. The sponsor and supporters said the bill is intended to increase competition, transparency, and better benefits for school employees. There was no opposition testimony, and the bill passed 10-0 with a due pass recommendation. Members next considered SB 1711, which directs the State Board of Education to compile age-appropriate resources on preventing and recognizing inappropriate contact, including sexual conduct, and requires schools to make those resources available to students and parents. Supporters said it would provide vetted, voluntary resources without mandating curriculum; opponents argued it was too limited and should include more robust, trauma-informed, age-appropriate sex education and accessibility requirements. The bill passed 7-3. SB 1798, creating a FAFSA awareness program and school designation for schools that promote FAFSA completion, also passed after testimony from a college student and the Arizona Board of Regents in support; the vote was 8-2. The committee also heard SB 1143, which requires schools to submit federal civil rights data collection information to ADE and directs ADE to publish an annual school safety report. Supporters framed it as a transparency measure for parents and policymakers, while opponents said it was duplicative, could be misused, and should apply to private schools as well. It passed 7-3. Finally, SB 1684, as amended, creates a private right of action against public schools for serious physical injury caused by bullying after a prior report and a negligent failure to respond; an amendment narrowed the bill to on-campus or school-sponsored events and removed verbal reports from the definition of prior report. Trial lawyers and the ACLU opposed it, warning about litigation and zero-tolerance discipline, while supporters said it would hold schools accountable for serious bullying. The amended bill passed 6-3.

Transcript Highlights:

• Montana limits do not apply to aged, blind, or disabled adults, and these states generally exempt preventative

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.

Transcript Highlights:

• Simply put, we would be flying blind and setting standards at this time.

Keywords: 996, all