Video & Transcript Research : 'facility rules'
Page 75 of 500
FL
Florida 2026 5th Special Session
Transportation Feb 3rd, 2026
Transcript Highlights:
- This is the facility that is covered.
- Senator Harrell confirmed that if an entity is located, or co-located, at an airport or at a facility
- This bill seeks to clarify the rules for the storage of electric vehicles in towing yards.
- It also is recognizing the recent Florida State Fire Marshal has adopted a rule, 69A, related to the
- . ...essentially limit maybe what their capacity could be to adhere to these rules.
Summary:
The Transportation Committee met with a quorum and first took up SB 1362 on advanced air mobility. Senator Harrell described the bill as creating a framework for vertiports and eVTOL operations, including DOT oversight, vertiport licensing, preemption of local design and operational regulation, and limited liability protections. An amendment was adopted that removed the bill’s sales tax exemptions and narrowed the sovereign immunity language so it would apply only to vertiports co-located at airports, aligning the bill more closely with the House companion. Supporters from eVTOL companies praised Florida’s leadership and the regulatory clarity, while the Florida Justice Association urged caution about extending immunity to unproven entities. The committee then reported the bill favorably.
The committee next considered SB 260 on storage and cleanup of electric vehicles after crashes. An amendment narrowed the bill to EVs with visible battery or battery-compartment damage or saltwater submersion, clarified that the fee applies to storage rather than towing, and tied the proposal to existing fire marshal rules requiring damaged EVs to be stored away from structures. Insurance and rental-car industry representatives supported the narrowed approach but asked for more data reporting, clearer limits on cleanup language, and safeguards against overcharging or cost shifting. The bill was debated as a response to the space and safety burdens placed on tow operators, and it was reported favorably after amendment.
The committee also approved SB 1352, which creates a secure online portal for license plate seizure/confiscation processing, allows disabled veterans to retain their DV plate alphanumeric designation, authorizes immediate issuance of DV plates by tax collectors, bans license plate covers/overlays that obscure plates, and routes online driver license/ID renewals to the customer’s county tax collector with service fees remitted accordingly. SB 1370 was reported favorably as well; it closes a loophole so drivers who never had a license can still be treated similarly to suspended-license offenders for habitual traffic offender purposes after repeated offenses. Finally, the committee considered SB 1220, FDOT’s transportation package, which included updates to trail prioritization, SunTrail materials and sponsorships, seaport and airport resilience planning, drone delivery and personnel delivery device provisions, LiDAR coordination, turnpike toll programming changes, and felony penalties for damaging autonomous vehicles. An amendment removed some provisions, including digital driver license authorization and the rapid rail transit compact, and added advanced air mobility corridor language and an FDOT study on alternative-fuel revenue impacts; after support from several stakeholders, the committee reported the bill favorably and adjourned.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (04/14/2025)
Science, Technology and Energy
Transcript Highlights:
- <00:20:50.640>
um, the tariff as well as in the rules um, the tariff as well as in the rules - the new rules? the new rules?
- um due to the fact that House rules um due to the fact that House rules require<02:04:35.599>
- Uh one of the facility in Penrook.
- <05:14:05.840>
We're like that to the facility. We're like that to the facility.
NM
New Mexico 2025 Regular Session
IC - Public School Capital Outlay Council Jul 16th, 2025
Transcript Highlights:
- The adequacy standards are not intended for new facilities to be minimized.
- , because that's not the point of the rules.
- A longer-term conversation about facilities and how we use the rules we have and the guidelines to this
- I am the Facilities Manager and the Director of the School for the Deaf.
- We did receive a request for a pre-K facility or reserve.
MN
Transcript Highlights:
- There are ways we could tweak rules There are ways we could tweak rules to<00:10:30.760>
allow - change the IHS rules. change the IHS rules. Senator<00:16:07.440>
Wicklund. - services in assisted living facilities services in assisted living facilities and<00:20:34.320><
- rules surrounding them. rules surrounding them.
- ,<00:49:57.160>
or services with an agency, facility, or services with an agency, facility
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Sep 11th, 2025
Transcript Highlights:
- We apply these rules consistently to all people who participate in our proceedings, regardless of the
- And the rules for today's hearing are the following: no talking or loud noises from the audience.
- Please be aware that violations of these rules may be subject to removal or other enforcement actions
- are not considered logistics use facilities and therefore not subject to AB 98.
- Facilities represent a tremendous opportunity for economic growth in many of these areas.
Summary:
The committee hearing began with housekeeping rules, including limits on public comment and a reminder that testimony would be in person, with written testimony accepted through the committee portal. One agenda item, SB 423 by Senator Gonzalez, was pulled, and the committee then took up SB 415 by Senator Reyes, a cleanup bill related to last year’s AB 98 warehouse and logistics facility law. The author explained that SB 415 would clarify that manufacturing facilities are not treated as logistics use facilities, give local governments more time to update truck routes and circulation elements, provide safe-harbor language for good-faith compliance efforts, exempt cities with no logistics facilities from certain circulation updates, and allow truck routes to be established by ordinance outside warehouse concentration zones.
Testimony on SB 415 was largely supportive. Supporters included the American Planning Association, California State Association of Counties, Rural County Representatives of California, League of California Cities, California Business Properties Association, International Warehouse Logistics Association, California Grocers, California Business Roundtable, Pacific Merchant Shipping Association, and others, who said the bill would make AB 98 more workable and provide needed implementation flexibility, especially for local governments and rural areas. One opponent argued the bill would still harm rural counties, reduce economic development opportunities, and eliminate high-paying jobs tied to warehouse and logistics construction and operations. CalChamber supported the cleanup provisions but raised a process concern about a separate bill and the broader negotiation process around related policy.
The author and committee chair closed by emphasizing the year-long negotiations and the intent to balance community, environmental justice, and industry concerns while improving implementation of AB 98. The committee then voted to pass SB 415 on a 10-0 vote, and the hearing was adjourned.
KY
Kentucky 2025 Regular Session
House Standing Committee on Health Services (1-9-25)
Transcript Highlights:
- That rule has a second part.
- That rule has a second part.
- That rule has a second part.
- That rule has a second part.
- That rule has a second part.
Keywords:
00:00 Call to Order/Roll Call
00:16 Consideration of Referred Administrative Regulations
25:49 Discussion of Hospital Rate Improvement Plan
58:50 Adjournment, 958, all
Summary:
The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision.
The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work.
The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well.
After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.
WV
West Virginia 2026 Regular Session
Senate in Session Mar 14th, 2026 at 11:34 am
West Virginia Senate Floor Meeting
Transcript Highlights:
- House Bill 527, supplemental appropriation to the Department of Health Facilities.
- Engrossed House Bill 527, supplemental appropriation to the Department of Health Facilities.
- Engrossed House Bill 527, supplemental appropriation to the Department of Health Facilities.
- Having voted affirmative, I declare the constitutional rule dispense with.
- I declare the constitutional rule dispensed with. The clerk will read the bill.
Summary:
The Senate met with prayer, the Pledge of Allegiance, journal approval, and numerous introductions of pages, guests, and visitors, including a large McDowell County Day delegation. The chamber also adopted Senate Resolution 66, designating March 14, 2026, as McDowell County Day at the Legislature, with remarks highlighting the county’s history, resilience, and economic importance.
On legislation, the Senate rejected House amendments to Senate Bill 493 on open captioning for motion pictures and asked the House to recede. It then took up and passed Senate Bill 587, adjusting the salary schedule for elected county officials, after adopting an amendment restoring county control over future pay increases; the bill was made effective July 1, 2026. The Senate also received a gubernatorial executive message containing 76 nominations and set consideration of those nominations as a special order for 4 p.m.
The Senate quickly advanced and passed several supplemental appropriation bills, all by unanimous 34-0 votes and made effective from passage: House Bill 527 for the Department of Health Facilities and three hospitals; House Bill 528 for the Department of Agriculture’s spay-neuter assistance fund; House Bill 5307 for the Department of Tourism, Division of Culture and History; Committee Substitute for House Bill 5317 for the Division of Natural Resources; and House Bill 5694 for the Department of Education, which removed unnecessary budget language. The chamber then recessed for 30 minutes.
FL
Florida 2025 Regular Session
February 19, 2025 - 01:00 PM
Transcript Highlights:
- Each local delegation operates according to its own internal rules.
- A delegation may choose to adopt the relevant portions of the House rules to govern meetings.
- Many delegations have adopted rules requiring proposed local bills...
- This includes certifying that the bill complies with House Rule 5.5A, which means that the...
- So, as you mentioned, certain delegations have different rules.
Summary:
The Intergovernmental Affairs Subcommittee heard and passed two measures before receiving a staff presentation on the local bill process and local delegation meetings. HB 4007, by Rep. Snyder, would cap reimbursement for certain inmate emergency medical services in Martin County at 110% of the Medicare rate, with a higher cap if a provider shows it is operating at a loss. Snyder said the bill is intended to create predictability and save taxpayer dollars; members asked about fiscal effects and whether other counties could adopt similar language. Public testimony came in support from Martin County and related local officials, and the bill was reported favorably by a 17-0 vote.
The committee also passed HM 4005, by Rep. Daly, which urges Congress to increase Florida National Guard force structure. Daly argued Florida’s troop allocation is outdated and inadequate for the state’s population and disaster demands, contributing to burnout and recruiting problems. Members asked about the basis for the current allocation, possible budget and infrastructure impacts, and the National Guard’s needs; there was no opposition or public testimony, and the memorial was reported favorably by a 17-0 vote.
After the votes, Reps. Holcomb and Kendall gave a detailed presentation explaining how local bills differ from general laws, constitutional limits on local legislation, required local delegation meetings and notice, certification and economic impact forms, and amendment procedures. Members asked several process questions, including about multi-county delegations and Miami-Dade’s special status. The meeting ended with a few recognitions and adjournment before session.
VT
Transcript Highlights:
- So, with that, member from Poultney, can you please offer us a motion to suspend our rules to take up
- Madam Speaker, I make a motion to suspend rules in order to take up off the notice calendar for immediate
- These facilities also require millions These facilities also require millions of gallons of water to
- They're important for some of our facilities, our health care facilities, for running government.
- We couldn't We couldn't get an Amazon distribution facility developed here in the state.
AK
Alaska 2025-2026 Regular Session
House Floor Session Jun 20th, 2026 at 10:00 am
Alaska House Floor Meeting
Transcript Highlights:
- 24(c), 35, 41(b), and 42(e) of the Uniform Rules of the Alaska State Legislature concerning House Bill
- House Concurrent Resolution 301 by the House Rules Committee, suspending Rules 47 and 55 of the Uniform
- Rules of the State Legislature relating to the carryover of bills into a special session.
- Confidentiality rules for AGDC are narrower than the House version.
- House Bill 3001, by the House Rules Committee, by request of the Governor, entitled: An act relating
MA
Transcript Highlights:
- But it's a unique facility.
- this facility.
- Develop mental health treatment facilities on campus.
- Develop mental health treatment facilities on campus.
- He was transferred to a residential facility.
Summary:
The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur.
Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate.
Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jul 1st, 2026
Transcript Highlights:
- Paula Stone, talk about the emergency rule on hospital-based residential treatment.
- This is an emergency rule that was heard by ALC last week.
- And does Medicaid not pay, like, in each other type of treatment facilities, the private type facilities
- You have already approved our rule overall for electronic visit verification.
- This rule will help with that.
Summary:
The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling.
The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor.
No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/28/25
Public Safety Finance and Policy
Transcript Highlights:
- and any facility licensed by the DOC in Minnesota.
- Effectiveness is increasing face time at facilities, uh, so we do, uh, open office hours at most facilities
- there to mirror the size of the facility there to mirror the size of the man<01:09:33.080>
facility - facility and at the Moose Lake facility facility and at the Moose Lake facility that<01:54:00.239
- phone call from a correctional facility phone call from a correctional facility it<01:56:53.079>
Bills:
HF2432
Keywords:
HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/19/2025)
Transcript Highlights:
- <00:15:10.160>
around specifies very particular rules around specifies very particular rules - Hospitals are charged per bed, while other facilities are charged per facility.
- facilities am I not on Health Facilities facilities am I not on Health Facilities by by by right
- I think facilities is up next, and I don't see a PowerPoint for the facilities.
- facility operations.
Summary:
House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work.
Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract.
White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And then Medicare pays on— they have all kinds of different rules.
- Medicare has all kinds of different rules.
- I just didn't know if it was in state statute or not, but it's by rules.
- We have nine clients that are Living Choices waiver clients in the facility.
- It was not one of our Um, with this facility reporting timely.
FL
Florida 2025 Regular Session
November 5, 2025 - 03:30 PM
Transcript Highlights:
- ...to treatment facilities to make sure that they're complying, how does that get enforced?
- to treatment facilities to make sure that they're complying, how does that get enforced?
- Kind of going back to the AWT, the facilities with and without that level of treatment.
- And then the last project there is retrofitting critical community or emergency facilities.
- But there's no statutory or rule language Points in our scoring criteria.
Summary:
The Natural Resources and Disaster Subcommittee heard two informational presentations. First, the Department of Environmental Protection gave an overview of Florida’s water quality framework, explaining how numeric nutrient criteria, monitoring, TMDLs, and Basin Management Action Plans (BMAPs) are used to address impaired waters. DEP described recent changes intended to increase accountability, including five-year milestones in BMAPs, requirements for advanced wastewater treatment by 2033 in certain cases, limits on new conventional septic systems where sewer is available, enhanced nutrient-reducing septic requirements where sewer is not available, and a new agricultural regional water quality improvement element. The department also highlighted the Water Quality Improvement Grant Program, which has received nearly $1.4 billion over four years and funded more than 300 projects, as well as a public dashboard showing funded projects and a forthcoming trend-analysis dashboard for monitoring data.
Members asked about enforcement of BMAP milestones, septic-to-sewer coordination with local governments, PFAS and microplastics monitoring, septic system performance standards, wastewater facility compliance, and how many facilities remain below advanced wastewater treatment standards. DEP said it can enforce BMAP obligations through administrative orders, consent orders, court action, fines, and permit conditions, and that it inspects and verifies wastewater facilities while relying on reporting and site inspections for sewer infrastructure. The department also said nutrient-reducing septic systems must achieve a 65 percent reduction in nitrogen and phosphorus, with verification required when projects seek BMAP credit.
The committee then heard from the chief resilience officer on the Resilient Florida program, created in 2021 to address sea-level rise and coastal flooding. The presentation reviewed planning grants, vulnerability assessments, and the statewide critical-asset assessment, noting that all counties and most municipalities are expected to complete assessments by the end of 2026 and that vulnerability is now an eligibility requirement for future project funding. The program reported major statewide outcomes, including stormwater storage, miles of infrastructure and roadway protection, acres restored, and coastal protection projects, and highlighted examples such as breakwater improvements and lift-station elevation. Members asked about project delays, funding totals, overlap with other funding sources, and project prioritization; the program said delays often stem from design and permitting after award, that its reported totals reflect only grants it administers, and that projects are scored under the same criteria rather than being prioritized by asset type. The meeting ended with no further business and adjournment.
DE
Delaware 2025-2026 Regular Session
House of Representatives Legislative Session - Session 2 - 42nd Legislative Day Jun 30th, 2026 at 02:00 pm
Delaware House Floor Meeting
Transcript Highlights:
- Madam Speaker, I move that all rules of the House... Thank you.
- What this bill does is it removes large energy use facilities from the type of facilities and projects
- Wind did last year, where the court ruled the same way?
- Between those two court rulings?
- There's a motion and a second to suspend rules to hear.
TX
Transcript Highlights:
- facilities that produce critical components for the energy industry.
- And there is a large facility planned that would add up to 20 GW more.
- That's the power electronics facility. Oh, no.
- And finally, talking about customer costs, the last rule I talked about would be the last rule in that
- The discussion at the last open meeting focused on this rule.
Summary:
The Senate Committee on Business and Commerce convened to discuss critical infrastructure and supply chain integrity, particularly focusing on Texas's power grid and associated vulnerabilities. The meeting highlighted Texas's recent ranking as 10th in electricity affordability, emphasizing the state's commitment to maintaining a reliable and resilient electric grid. New committee members introduced themselves, and the agenda included testimony from ERCOT and the Public Utility Commission regarding the implementation of the Lone Star Infrastructure Protection Act, which aims to mitigate risks posed by foreign entities to the power grid.
Chad Sealy from ERCOT presented updates on the attestation process for market participants, revealing that over 1,500 entities had submitted attestations regarding their corporate structures and affiliations with designated foreign countries. Concerns were raised about the adequacy of the current vetting process, particularly regarding indirect relationships with foreign adversaries. Testimonies from the PUC and the Attorney General's office underscored the challenges of enforcing compliance and the need for improved legislative measures to enhance oversight and security.
The committee also heard from experts, including Dr. Emma Stewart from Idaho National Laboratory, who discussed the evolving threats to the grid from foreign adversaries and the importance of securing communication systems. Recommendations included prioritizing inspections of critical components and enhancing collaboration with national laboratories to address vulnerabilities. The discussion concluded with an acknowledgment of the balance needed between ensuring grid security and maintaining affordability for consumers.
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:
- On the federal level, the CMS interoperability and prior authorization final rule has provisions for
- On the federal level, the CMS interoperability and prior authorization final rule has provisions for
- So the reimbursement from insurers goes to a facility that hires CRNAs and other APRNs.
- This is for the facilities to get reimbursed enough so that they can hire more providers, which would
- What we see happening is cultures at specific facilities have not changed.
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.
ND
North Dakota 2026 1st Special Session
Energy Development and Transmission Committee Feb 26th, 2026 at 09:00 am
Transcript Highlights:
- So when we're building a processing facility, When we're building a processing facility, like a natural
- And then the state rules, we make sure that they're very familiar with the unfair tactics rule, that
- It'll be our largest natural gas facility.
- We also operate nuclear facilities, so large-scale industrial-size or utility-scale nuclear facilities
- We have five wind facilities that are currently in development, two battery storage facilities, one which
Summary:
The Energy Development and Transmission Committee met in interim session and approved the November 6 minutes. Chair Novak outlined the committee’s study agenda, including large energy users such as data centers, geothermal, landowner relations, wind and solar, and other energy topics across the state. The meeting was framed as informational only, with no bills or formal legislative action taken beyond the minutes approval.
Testimony focused first on landowner relations. Oliver County Commissioner Dave Berger described the county’s energy history and local support for coal and related development. North Dakota Farmers Union President Matt Perdue emphasized proactive, face-to-face communication with landowners, respect for property rights, and the need for developers to be transparent about tradeoffs; he also discussed insurance and liability concerns tied to easements. Committee members asked about eminent domain, local versus state authority, and how communities can better understand the revenue and infrastructure implications of energy development.
Department of Agriculture Deputy Commissioner Tom Bodine then described the department’s ombudsman programs for pipeline restoration and reclamation, wind restoration, and royalty oversight. He said the programs provide confidential, third-party assistance on reclamation and royalty disputes, but do not provide legal advice. Senators raised concerns about post-production deductions in royalty leases and whether the ombudsman can explain them; Bodine said the program can clarify statements and deductions but cannot resolve legal disputes. He also said the department has not received requests related to fiber lines.
Representatives from Grid United and One Oak described their project development and landowner engagement practices. Grid United’s Brent Johnson discussed the North Plains Connector transmission project, its route selection process, voluntary acquisition approach, and efforts to avoid eminent domain by working closely with regulators, counties, townships, and landowners. One Oak’s Danette Welsh and Tom Giltner described the company’s midstream operations, extensive North Dakota footprint, and emphasis on direct landowner communication, consistent local regulation, careful construction practices, and post-construction reclamation. Members asked about setbacks, zoning consistency, invasive species prevention, outside advocacy groups, and eminent domain use; One Oak said it has not used eminent domain on its North Dakota projects, largely because most gathering lines are negotiated easements.