Video & Transcript Research : 'fiscal notes'
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NH
New Hampshire 2025 Regular Session
House Finance Division I (02/24/2025)
Transcript Highlights:
- To put that in perspective, last fiscal year, in fiscal year 24, we did about 370 exams, so it's about
- To put that in perspective, last fiscal year, in fiscal year 24, we did about 370 exams, so it's about
- To put that in perspective, last fiscal year, in fiscal year 24, we did about 370 exams, so it's about
- To put that in perspective, last fiscal year, in fiscal year 24, we did about 370 exams, so it's about
- To put that in perspective, last fiscal year, in fiscal year 24, we did about 370 exams, so it's about
Summary:
The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities.
Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented.
Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion.
The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING Jan 9th, 2026
LEGISLATIVE JOINT AUDITING
Transcript Highlights:
- Staff also noted one committee-requested report that is outstanding and currently in progress.
- In other business, a request for a study of fiscal impact statements was withdrawn.
- That's duly noted. All right. Next.
- But it is a little, I mean, I had made several notes in here.
- I believe it's a combination, and they've been taking notes. Representative Beatty.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/10/26
Commerce Finance and Policy
Transcript Highlights:
- And I would just like to note, too, that there is a fiscal note in the packet.
- there is a fiscal note in the packet. there is a fiscal note in the packet.
- We do have a fiscal note.
- We do have a fiscal note.
- note that issue whether it be a fiscal note that issue has<01:22:39.840>
been <01:22:40.000>
Keywords:
nudification technology, image rights, privacy protection, sexual exploitation, cybersecurity, recreational camping, utility fees, electricity charges, consumer protection, energy policy, health insurance, insulin, step therapy, diabetes, patient care, prescription drugs, pet shops, animal welfare, dog sales, cat sales
AZ
Arizona 2026 Regular Session
04/28/2026 - Joint Appropriations
Transcript Highlights:
- Will the secretary please note the roll? Thank you, Mr. Chairman.
- year 2028 to fiscal year 2029.
- year 2028 to fiscal year 2029.
- Reckless fiscal decisions and... resources are cut.
- Reckless fiscal decisions and Tariffs and the war against Iran, reckless fiscal decisions and instability
Summary:
The joint appropriations committee met on April 28 to review the FY 2027 budget package, including the general appropriations feed bills (HB 4138 and SB 1831) and related budget reconciliation measures. Staff described the budget as including about $17.96 billion in general fund appropriations, a one-time transfer of state monies to increase revenues, a 5% lump-sum reduction to most agencies’ discretionary general fund budgets, and several one-time restorations or continuations for items such as school facilities, child care, child safety, corrections stipends, and public safety operating costs. Members spent much of the meeting debating how the across-the-board cuts would be implemented, which programs might be affected, and how fund sweeps from prior-year appropriations and special funds would work, including questions about universities, public safety, rural hospitals, transportation grants, the Corporation Commission, and health insurance costs for state employees and troopers.
A major point of discussion was the impact on universities and higher education. Arizona Board of Regents representatives said the proposed reductions and fund sweeps would affect already obligated dollars, research, staffing, and student aid programs, and could force difficult decisions about programs such as the Promise Program, Teachers Academy, and other pass-through funds. Committee members also raised concerns about whether the cuts could lead to tuition increases or reductions in services, while majority members emphasized that agencies and the executive branch should decide how to absorb the reductions. Another major topic was health care and the state employee health plan: staff explained that the budget includes a $228 million general fund infusion to stabilize the plan, while a separate reconciliation bill would raise employee premiums over three years. Members also discussed whether the budget’s changes to AHCCCS/Access and hospital eligibility rules could increase costs for hospitals and reduce coverage.
Public testimony largely opposed the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, and local governments argued that the proposal would shift costs onto working families, reduce support for education, housing, SNAP, health care, and rural infrastructure, and protect tax benefits for data centers and higher-income taxpayers. A mayor from Globe asked for state help after severe flooding damaged roads, water lines, and homes, while a motorcycle safety advocate asked the committee to review a DPS motorcycle safety fund appropriation. Committee members and staff repeatedly clarified that some items discussed were one-time appropriations not continued into FY 2027, that some fund sweeps were from unspent or unencumbered balances, and that the committee planned to take a mass roll-call vote on the budget bills at the end of the meeting.
MN
Transcript Highlights:
- may fiscal um the fiscal<00:08:33.680>
analyst <00:08:34.080>to <00:08:34.240>do - um um the local impact note impact note um um the local impact note process<00:42:55.680>
um < - This is not a mandate, so any of the fiscal notes that you see are speculative.
- <01:16:48.719>
notes <01:16:49.280>that mandate so any of the fiscal notes that mandate - so any of the fiscal notes that you<01:16:49.639>
see <01:16:50.120>are <01:16:50.560><
MN
Minnesota 2025 1st Special Session
Conference Committee on HF2431 5/17/25 - Part 4
Transcript Highlights:
- for law enforcement for the workforce development scholarship appropriation of $500,000 one time in fiscal
- for law enforcement for the workforce development scholarship appropriation of $500,000 one time in fiscal
- for law enforcement for the workforce development scholarship appropriation of $500,000 one time in fiscal
- <00:14:37.120>
note <00:14:37.360>completed <00:14:37.760>by <00:14:37.839> in the fiscal note completed by the in the fiscal note completed by the office<00:14:38.160- > the
FL
Florida 2026 Regular Session
Joint Legislative Auditing Committee Feb 3rd, 2025
Transcript Highlights:
- We do typically note that sometimes when we note this concern, we explain to them you need to include
- Talk about fiscal transparency now.
- Talk about fiscal transparency now.
- We've noted instances where the reconciliations are performed untimely, and we've also noted instances
- We've noted instances where the reconciliations are performed untimely, and we've also noted instances
Summary:
The Joint Legislative Auditing Committee received a presentation from Auditor General staff on recurring findings from audits of district school boards, colleges, and universities. For school districts, the main issues discussed included missing or outdated safe-school officer training documentation, weak purchasing-card controls, vendor banking-change fraud risks, incomplete background screenings and disqualification-list procedures, missing website budget disclosures, excessive or untimely IT access, late deactivation of former employees’ access, missed emergency drill deadlines, inaccurate capital outlay and resiliency education records, weak tangible property inventories, adult education reporting errors, untimely bank reconciliations, and improper use of workforce development funds. The auditors said many of these issues are repeated from prior years and are summarized in their annual report on significant findings and financial trends.
For universities and colleges, the auditors highlighted similar control weaknesses, including vendor information change controls, IT access issues, cash and investment reconciliation problems, purchasing and procurement deficiencies, personnel and compensation issues, and student fee compliance concerns. Specific examples included a UF consulting contract totaling about $6 million, FAU underreporting carry-forward balances by about $77 million, UCF’s payment loss of about $107,000 from an email scam tied to vendor changes, and a North Florida College unauthorized transfer involving a few hundred thousand dollars. The committee asked questions about the UF consulting work, the FAU carry-forward issue, and whether the listed findings meant every named entity had every issue; auditors clarified that the lists reflected entities with findings in those categories, not necessarily each specific problem.
The committee then turned to enforcement for entities with long-standing uncorrected audit findings. Staff reported 144 entities with 197 findings repeated in three or more successive audit reports and recommended sending letters requesting updated corrective-action status, including for late-filed 2022-2023 reports where appropriate. The committee approved the staff recommendation and directed letters to be sent. The meeting ended with members emphasizing the importance of audit oversight and taxpayer accountability.
MN
Minnesota 2025 1st Special Session
House Judiciary Finance and Civil Law Committee 4/1/25
Judiciary Finance and Civil Law
Transcript Highlights:
- She also noted that there is a fiscal note of zero in the packet.
- note just to would be a large fiscal note just to collect<00:57:38.799>
the <00:57:38.960> - come back with with uh the fiscal note. come back with with uh the fiscal note.
- Um, is there a fiscal note expected with this?
- Co-Chair, um, I don't have a fiscal note.
Bills:
HF2233, HF1999, HF1995, HF1614, HF2781, HF1775, HF1316, HF2127, HF2521, HF689, HF2380, HF1273
Keywords:
Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- Just shifting to my notes. Okay.
- Just shifting to my notes. Okay.
- Just shifting to my notes. Okay.
- So, can you tell me a majority of these fiscal impacts that are noted on here, how much of that is just
- fiscal impacts that are noted of these fiscal impacts that are noted on<01:12:25.920>
here, <01
Summary:
The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match.
Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment.
The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.
NH
New Hampshire 2025 Regular Session
House Ways and Means (02/19/2025)
Transcript Highlights:
- <00:13:21.800>
year the plan number for fiscal year the plan number for fiscal year 25<00: - He made two points, one specific to the revenue argument: the fiscal note says this will generate $87.5
- He made two points, one specific to the revenue argument: the fiscal note says this will generate $87.5
- <00:35:09.920>
note <00:35:10.240>saying estimate uh on the fiscal note saying estimate - uh on the fiscal note saying that<00:35:11.119>
this <00:35:11.240>will <00:35:11.800><
Summary:
The committee first met in a revenue estimate work session to approve an LSR codifying the committee’s revenue estimates. Members reviewed the process for turning the LSR into a House Resolution and discussed how the adopted estimates would be used to amend House Bill 1. After a brief question-and-answer about current revenue splits and the governor’s proposed video lottery and tax-split changes, the committee voted 19-0 to approve the revenue estimates.
The committee then moved into executive session on HB 669, which would require all revenue from the statewide education property tax to be deposited into the education trust fund and set an equalized statewide tax rate. Supporters argued the bill would better direct education funding, while opponents said it was unnecessary or duplicative. The committee voted 12-7 to retain the bill (ITL), and a minority report was noted.
Next, the committee considered HB 290, which would raise cigarette and electronic cigarette taxes and create a study committee on tobacco and nicotine taxes. Testimony focused on revenue needs, inflation, public health, and concerns that a higher tax could reduce sales or drive purchases across state lines. The committee voted 11-8 to ITL the bill, with a minority report. The committee also ITL’d HB 402, dealing with whether Education Freedom Account payments are taxable income, after debate over unintended consequences and whether the bill’s language was misleading; that vote was 11-8 with a minority report. Finally, the committee opened HB 483, and Representative Tierney moved ITL, arguing the bill’s requirement that the scholarship organization be incorporated in New Hampshire would likely violate the Commerce Clause; the transcript cuts off before the vote on that bill.
AZ
Arizona 2026 Regular Session
02/10/2026 - House Republican Caucus Calendar #5
Transcript Highlights:
- I did get the JLBC fiscal memo back, or note back, and it is zero cost to the state.
- I did get the JLBC fiscal memo back, or note back, and it is zero cost to the state.
- I did get the JLBC fiscal memo back, or note back, and it is zero cost to the state.
- I did get the JLBC fiscal memo back, or note back, and it is zero cost to the state.
- The bill appropriates $1,250,000 from the Housing Trust Fund in fiscal year 2027.
Summary:
The meeting covered a long series of bills, mostly in health, education, commerce, federalism, and government. In health, members discussed radiology technology updates (HB 2050), a tribal Medicaid waiver/drawdown measure with no state cost (HB 2177), an emergency medicine study committee (HB 2183), fetal death certificate and remains-transfer requirements (HB 2184), a physician assistant licensure compact (HB 2190), dementia care telemonitoring funding (HB 2202), SNAP error-rate reduction and fraud/eligibility oversight bills (HB 2206, HB 2442, HB 2797), child welfare protections like credit freezes and recorded interviews (HB 2321, HB 2322), and podiatric licensure compacts (HB 2438). Several of these were described as consent-calendar items, while HB 2206 and the SNAP-related measures drew discussion about fraud reduction, administrative burden, and work requirements.
In commerce and finance, the committee heard bills on mobile food vendors and local permits (HB 2118), earned wage access services with fee caps and disclosure rules (HB 2309), CPA licensure changes (HB 2476), cash acceptance for retail purchases under $100 (HB 2555), drone delivery and unmanned aircraft guardrails (HB 2875), timeshare salesperson licensing (HB 2877), and a prohibition on state-mandated social credit scoring in lending decisions (HB 2903). The tax and retirement-related items included 529 plan conformity and Roth IRA transfer rules (HB 2477), annual tax conformity to the Internal Revenue Code (HB 2785), ASRS technical and disability-related changes (HB 2089, HB 2090, HB 2092), and a bill on employee health insurance definitions (HB 2089). The Arizona Commerce Authority bill (HB 2754) would add legislative members to the board and shift more control over trade offices and Arizona Competes Fund spending to the legislature.
The education section focused heavily on school governance and finance. Bills included patriotic youth group presentations in schools (HB 2312), school board term limits (HB 2318), mandatory training for governing board members (HB 2379), independent municipal advisors for bond elections (HB 2320), restrictions on districts buying operating charter/private school sites to game enrollment formulas (HB 2376), conflict-of-interest limits for school facilities board architects and engineers (HB 2378), public meeting and travel transparency rules for districts (HB 2380), limits on long-term school property leases and reporting requirements (HB 2384), tighter bidding rules for school construction job orders using Building Renewal Grant funds (HB 2482), and a voluntary computer science proficiency seal (HB 2764). Sponsors repeatedly framed these as transparency, accountability, and anti-abuse measures, while some opposition centered on local flexibility, housing use, and existing training providers.
In federalism and government, the committee heard bills to give counties more time to mail sample ballots (HB 2006), require courts to identify veterans at first appearance for possible veterans court referral (HB 2226), study veterans’ awareness of benefits (HB 2406), broaden military leave protections (HB 2663), require SAVE verification for voter registration and certain state services (HB 2806), require U.S.-sourced voting machine components by 2029 (HB 2901), affirm the Electoral College (HB 2902), and establish due process protections for justice of the peace courts against outside administrative action (HB 2976). Government committee items included a later deadline for library trustees’ annual reports (HB 2129), a two-year limit on certain adult protective services reports to the Attorney General (HB 2228), and an exemption for public and semi-public cold plunges from ADEQ spa rules (HB 2439). Several bills were reported as consent-calendar items, and a number of sponsors noted committee votes, fiscal neutrality, or favorable testimony in support of the measures.
MN
Transcript Highlights:
- Okay, so let's start out with House Research from Fiscal Analysis.
- There will typically be revenue estimates and potentially fiscal notes for proposals being considered
- There may be spreadsheets describing the fiscal effects of bills.
- <00:07:48.039>
notes estimates and potentially fiscal notes estimates and potentially fiscal - In fiscal 24, it is about 44% of state total tax collections.
Summary:
The House Tax Committee met for an organizational and orientation session. Members and staff introduced themselves, with several lawmakers noting their districts, business backgrounds, and interest in tax policy. Chair Greg Davids then opened the committee’s first substantive item: a presentation from House Research and House Fiscal staff on how the committee works and on basic tax concepts.
House Research staff Sean Williams and Chris Clayman explained their roles in drafting bills and amendments, writing bill summaries, answering legal and policy questions, and modeling tax proposals. They also described the committee’s key documents, including partisan and nonpartisan bill summaries, revenue estimates, fiscal notes, and supporting materials. Their presentation covered core tax concepts such as tax bases, rates, deductions, exemptions, credits, tax revenues, and tax expenditures, emphasizing that tax expenditures function like spending through the tax code and are reviewed by a legislative commission.
The staff then reviewed Minnesota’s major taxes, focusing on the individual income tax and business taxation. They explained that Minnesota’s individual income tax starts with federal adjusted gross income, then applies state additions, deductions, subtractions, and credits, and that the state’s income tax brackets and rates are set separately from federal law. They also outlined the difference between corporate franchise taxes for C corporations and individual income tax treatment for pass-through entities, and discussed how the federal SALT cap led Minnesota and other states to adopt pass-through entity taxes so businesses could preserve federal deductibility of state taxes. Members asked questions about a duplicate “marriage penalty” entry on a slide, the purpose of Minnesota’s marriage penalty credit, comparisons with other states, and the timing and effect of the pass-through entity tax; staff answered that the duplicate was a mistake, the credit offsets bracket-related marriage penalties, and the pass-through entity tax was adopted in response to the federal SALT cap.
KY
Kentucky 2026 Regular Session
House Standing Committee on Elections, Constitutional Amend. and Intergovernmental Affairs (2-19-26)
Transcript Highlights:
- But my question is, what is the fiscal note on this bill?
- So do you know what the fiscal note of this bill would be?
- but my question is what is the fiscal but my question is what is the fiscal note<00:07:17.280>
- Because the secretary note on this bill?
- I will not explain my vote. documented need, fiscal transparency, or documented need, fiscal transparency
Summary:
The House Elections, Constitutional Amendments, and Intergovernmental Affairs Committee met to consider House Bill 534, sponsored by Rep. DJ Johnson, with a committee substitute. Johnson said the bill was the product of interim work with the Secretary of State’s office, the State Board of Elections, county clerks, KREF, and other stakeholders, and that the committee substitute folded in several election-administration changes. He highlighted provisions clarifying the timeline for felony voter-roll removals, allowing the Board of Elections to work with federal agencies to identify non-citizens on the voter rolls, creating a process for those individuals to prove citizenship and vote provisionally, and changing some KREF board appointments. He also described technical campaign-finance changes and said some provisions might still be adjusted through floor amendments.
Members raised concerns about fiscal impact, timing, and voter privacy. Rep. Bivens questioned the cost and whether the bill could affect voter records; Johnson responded that the bill itself did not require new equipment or broad new spending, though a special election in a local government failure scenario could create costs. Rep. Hancock and Rep. Marzian argued the bill could create unnecessary burdens on county clerks and questioned whether there was a demonstrated problem to justify the changes. The county clerks’ association, through Rockcastle County Clerk Danetta Ford Allen, opposed the bill as introduced, warning that citizenship checks could wrongly remove eligible voters, that online ballot images or cast vote records could threaten voter privacy and facilitate vote buying, and that the emergency clause would force major changes too close to the May primary.
Johnson defended the bill as a targeted response to a real local election failure and said the citizenship data sharing would be limited to name, date of birth, and Social Security number. He also explained that the ballot-image language was permissive and intended to let counties explore emerging technology, but he was open to removing that section or changing the effective date in a floor amendment. He further said he would consider preserving gubernatorial appointments to KREF with Senate oversight instead of shifting appointments to legislative leaders. After discussion, the committee voted 9-2 with one pass to report the bill out, with several members explaining yes votes as support for moving the bill forward while expecting further cleanup, and no votes citing cost, timing, and voter-access concerns.
WA
Washington 2025-2026 Regular Session
Committee to Hear SAO Performance Audits Jul 15th, 2026
Transcript Highlights:
- Our analysis also noted racial disparities.
- I'll note that for fiscal year 2025, more people could be certified than what the orange line shows here
- In fiscal year 2025, only about one-third of applicants were.
- I'll note that for fiscal year 2025, more people could be certified than what the orange line shows here
- But by fiscal year 2025, the percentage had fallen to 21%.
Summary:
The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients.
The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit.
Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.
AR
Arkansas 2026 1st Special Session
ARKANSAS LEGISLATIVE COUNCIL (ALC) Feb 20th, 2026
ARKANSAS LEGISLATIVE COUNCIL (ALC)
Transcript Highlights:
- That's our seventh month of this fiscal year.
- That's an increase of around $80 million for this fiscal year to date, or 1.7% above the last fiscal
- For this fiscal year to date, 1.7% above the last fiscal year.
- year 25 to fiscal year 26.
- All other rules were reviewed and approved and noted in this report. Mr.
Summary:
The meeting opened with prayer, approval of the prior minutes, and a monthly revenue report from the Bureau of Legislative Research. The report showed gross general revenue collections up year to date and net general revenue above forecast, with the increase attributed in part to income tax growth, a fiscal-year shift, and lottery-related collections. Members asked no questions, and no action was required on the revenue report.
Several subcommittee reports were then presented and adopted, including executive, administrative rules, game and fish/state police, hospital/Medicaid/developmental disability, occupational licensing, PEER, revenue, state insurance programs, and personnel. The executive report noted a waiver request for Jackson County School District construction services and an audit with no findings. The administrative rules report covered agency directives, rulemaking updates, and a few rules pulled for later consideration. The revenue subcommittee held one District 4 tire removal contract until its next meeting, while the state insurance subcommittee reviewed the EBD contract with Boston Consulting Group and approved pharmacy formulary and drug recommendations.
A substantial portion of the meeting focused on the State Insurance Department’s examination of pharmacy benefit managers, especially Navitus Health Solutions. Commissioners and staff explained that Navitus objected to producing certain claims data for self-funded plans, raising an ERISA preemption argument, and that the matter was being set for an administrative hearing, likely in April. Members questioned compliance, due process, and the implications of the objection, while the department said the state initiated the examination and was continuing to seek resolution. The committee also reviewed an Arkansas Teacher Retirement System agreement, with one member noting a potential conflict and abstaining. The meeting ended after members reviewed additional reports with no further action and adjourned.
FL
Florida 2025 Regular Session
Health Policy Feb 18th, 2025
Transcript Highlights:
- OSHA AS NOTED IN ONE OF THE ONLINE JOURNALS AND A PERIOPERATIVE ENVIRONMENT THE SURGICAL TEAM IS OFTEN
- OCULAR AND UPPER RESPIRATORY TRACT ISSUES WERE NOTED AND THIS IS JUST THE NURSES.
- THAT PRESENTS A FISCAL, A SIGNIFICANT FISCAL.
- CHAIR HARRELL ASKED IF WE WOULD OFFER SOME TALKING POINTS RELATED TO THE FISCAL ASSOCIATED WITH THIS
- IT MAKES TENSE FISCALLY AND COMPASSIONATELY SO I RESPECTFULLY ASK YOU TO PLEASE VOTE YES ON SB 264.
MN
Transcript Highlights:
- order a fiscal note.
- Uh committee to request fiscal notes.
- >
but enough fiscal notes being requested but enough fiscal notes being requested but trying<03 - <03:09:26.640>
notes We have a problem with fiscal notes We have a problem with fiscal notes - <03:11:10.319>
note through the fiscal note through the fiscal note process.<03:11:12.640>
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (12/19/2025)
Transcript Highlights:
- We're bringing that to fiscal for their approval.
- We bringing that to fiscal and expend.
- We bringing that to fiscal for<00:11:16.800>
their <00:11:17.040>approval. - With regards to rural health, the item we'll take up in fiscal very shortly.
- item to fiscal um 27ish for that. item to fiscal um 27ish for that.
Summary:
The committee met on December 19, 2025, approved the draft minutes from the November 21 regular meeting, and received a DHS commissioners update. Patricia Tilly reported on the state’s rural health transformation application, saying CMS had provided only one question and positive feedback, that the final federal award amount was still pending, and that DHS was preparing an accept-and-expend item for fiscal review using an up-to amount. She also said the new Hampstead YDC facility remains on track, with substantive construction expected by late summer 2026 and move-in likely in early January 2027. In response to questions, she confirmed the playground/outdoor activity area had been in the original design and was added when funding became available.
Henry Litman, Medicaid director, discussed the Senate Bill 248 study committee report on palliative and hospice care. He explained the distinction between palliative care, which can be provided while a patient still seeks curative treatment, and hospice care, which involves electing not to pursue curative services. He said the committee’s work pointed to a need for better education for providers and the public, and described ongoing conversations with the Foundation for Healthy Communities and Home Health and Hospice about developing materials and possibly addressing how palliative services are bundled. He also said the study committee itself did not generate future legislation, though members could pursue it separately.
Litman then answered questions about Medicaid eligibility and long-term services and supports, including delays in processing, the backlog from pandemic-era redeterminations, and efforts to speed reviews. He said the department is using temporary staffing funded in part by last session’s legislation, working with the New Hampshire Healthcare Association, counties, and UNH Law to streamline policy and training, and relying more on electronic asset verification while still guarding against improper asset transfers. He emphasized the goal of balancing faster access to benefits with compliance and fraud prevention.
Robert Rodler followed with the annual tuition waiver update for children in foster care or guardianship. He reported 82 applicants and 65 waivers granted, including 35 for USNH schools and 30 for the community college system, and noted a correction would be issued for inaccurate continuing/new student figures in the report. Senator Gray said he intends to pursue a separate budget appropriation for these tuition waiver costs in the future so the funding would be clearly identified and easier to track. No additional votes were taken beyond approval of the minutes.
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (11/21/2025)
Transcript Highlights:
- So be at fiscal for that as well.
- >> It's<00:56:10.799>
fiscal. <00:56:11.520>So, >> It's fiscal. - So, >> It's fiscal.
- <00:56:15.760>
Fiscal. <00:56:16.240>I >> You want to get fiscal. Fiscal. - I >> You want to get fiscal. Fiscal. I understand. understand. understand.
Summary:
The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias.
Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access.
Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized.
The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.
MN
Minnesota 2025-2026 Regular Session
Overview of Minnesota State budget request before House higher education committee 3/11/25
Transcript Highlights:
- funds provided for each of the fiscal funds provided for each of the fiscal year<00:34:29.879>
<00:57:36.839>year settlement was for um the fiscal year settlement was for um the fiscal - 25 than we did in fiscal 24.
- <01:14:27.440>
24 in fiscal 25 than we did in fiscal 24 in fiscal 25 than we did in fiscal - I would note that $12.5 million of it was not in the tails for fiscal year 26 and 27.
Summary:
Minnesota State Colleges and Universities presented an overview of the system and several budget riders. Board Chair George Soul described the system’s structure, noting 26 colleges and seven universities governed by a 15-member board, and emphasized that Minnesota State serves about 270,000 students annually, including many students of color, adult learners, Pell-eligible students, first-generation students, and veterans. He highlighted the system’s workforce role, saying it offers more than 4,000 programs, extensive employer partnerships, and that 86% of graduates find jobs in their field or a related field. He then turned the presentation over to system staff to discuss specific funding requests.
Associate Vice Chancellor Kim Lynch focused on the Z-degree textbook program, which supports zero-textbook-cost courses and degrees. She said prior legislative support has produced about $3.1 million in savings in academic year 2024 and more than $12.6 million in aggregate savings, with 10 colleges now offering Z degrees and 12 more on track or exploring implementation. She described the program’s use of open educational resources, instructional design support, and library resources to fill gaps where free materials are not available, and said students save roughly $7 to $10 for every $1 invested. Members praised the program and asked about its expansion.
Associate Vice Chancellor Paul Shepard discussed student support funding, including a centralized basic needs resource hub, the Mantra Health mental health platform, and the emergency grant program. He said student surveys showed significant food, housing, and homelessness insecurity, and that the basic needs hub has served over 2,400 students with a 97% positive response rate. He said Mantra provides telecounseling, peer support, self-paced courses, and crisis support, and clarified in response to questions that it is not AI-driven and does not sell student data; general usage data is collected, and follow-up with campus counselors occurs only at the student’s request. He also said the emergency grant program has distributed over $3 million to more than 4,800 students, with grants averaging just under $700, and that campuses use application review and recordkeeping to manage repeat requests. Members asked about counselor staffing, data privacy, and grant safeguards.
The final item addressed sexual assault reporting and prevention funding. System staff said the appropriation supports technology infrastructure for statutory reporting, case management for investigations, campus prevention training, and professional development for Title IX coordinators and related staff. They noted that the statutory student training requirement is funded by individual colleges and universities, not by this appropriation. No formal votes were taken in the portion of the meeting provided.