Transcript Highlights:

• <00:50:12.800> And assisted bicycle rebate program. And assisted bicycle rebate program.
• This is related to the electric-assisted bike rebate program.
• This is related to the electric-assisted bike rebate program.
• Um and then article rebate program.
• the electric assisted bicycle uh rebate the electric assisted bicycle uh rebate revisions.<01:00

Bills: HF2438

Keywords: transportation finance, transportation policy, MnDOT, Minnesota Department of Transportation, Department of Public Safety, Metropolitan Council, highway funding, trunk highway fund, county state-aid highway fund, municipal state-aid street fund, state aid roads, local roads, bridge funding, road construction, transit funding, passenger rail, freight rail, aviation, airport development, safe routes to school

Transcript Highlights:

• Worse is the conversion of this rebate to an upfront exemption.
• If we don't address this existing tax rebate, it will dwarf this cost in 2025 and beyond.
• If we don't address this existing tax rebate, it will dwarf this cost in 2025 and beyond.
• And uncapped sales tax rebate available to data centers.
• If we don't address this existing tax rebate, it will dwarf this cost in 2025 and beyond.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh and at the end of the state fiscal year, we look at what we receive in rebate revenue.
• Uh and at the end of the state fiscal year, we look at what we receive in rebate revenue.
• Uh and at the end of the state fiscal year, we look at what we receive in rebate revenue.
• Uh and at the end of the state fiscal year, we look at what we receive in rebate revenue.
• We look at receive in rebate revenue.

Keywords: 928, house, all

Summary: The Fiscal Committee met with replacement members noted at the start and took up one emergency item from the Department of Health and Human Services: approval to accept and expend $2 million to support SNAP recipients during the federal shutdown. Commissioner Lori Weaver and CFO Nathan White explained that USDA/FNS had notified the state it would not receive November SNAP funds, affecting about 74,000 recipients. The department said it activated a contingency plan to contract with the New Hampshire Food Bank to expand mobile food pantries, targeting SNAP households and prioritizing locations based on need, with evening and daytime access and outreach through mail, text, email, social media, partner organizations, and a shutdown webpage. Committee members asked about timing, locations, reimbursement, and whether the state would be repaid by the federal government. Department staff said the food bank would likely need about a week to mobilize once the contract was approved, and that the contract would be cost-reimbursement based, with faster turnaround than usual but not advance payment. White explained the money would come from excess Medicaid Enhancement Tax revenue from state fiscal year 2025, which can be used only for Medicaid purposes under state law and SB 249, allowing general funds to be shifted to the food bank contract. Members also asked about other affected programs; the department said WIC had funding through November 10, energy assistance was expected to continue through December, and school breakfast/free and reduced lunch were not impacted. Members discussed broader public outreach, including a possible PSA and use of the New Hampshire Food Bank’s network of 417 partners, and one member suggested religious leaders or the governor might be better positioned to make donation appeals. The committee then voted unanimously to adopt the item (motion by Senator Gray, second by Senator Waters). The meeting ended with notice of the next meeting on November 21 at 11:00 and a motion to adjourn, which was approved.

Transcript Highlights:

• In that area, I would ask that drug manufacturers shall provide the aggregate of any rebates, discounts
• Number two, a drug manufacturer shall provide in the aggregate any rebates, discounts, or other financial
• Number four, disclose rebates, price protection payments, discounts, and other similar remunerations
• Number five, disclose rebates, price protection payments, discounts, and other similar remunerations
• the employer language in the proposed amendment, but also just want to dig into the language about rebate

Keywords: 908, all

Summary: The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote. The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program. Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.

Transcript Highlights:

• fees and pursuing alternative options that position the agency to negotiate better pharmaceutical rebates
• So does that mean that the state got that money in the state's coffer through a rebate?
• This will be in your next staff analysis of our ASR rebates that have gone to plans.
• In our current world, we're used to the cash coming back because we talk about rebates.
• In our current world, we're used to the cash coming back because we talk about rebates.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• resource-rich state with a strong economy, should consider long-term investing over the usual suspects: rebates
• And the reason I bring that up is, you know, certainly a rebate is compelling to put money in the pockets
• So those people that you give a rebate to, I'm sure they will seek amazing investments for themselves
• You kept using the term. ...rebate to discuss my proposal. My proposal is not a rebate.
• ...it back or the police force them to hit, would that robber be considered, is the robber rebating the

Bills: HB 104, HB2054, HB3459, HB3745, HB4486, HB4488, HB4601, HB104

Keywords: Texas Future Fund, investment review board, economic stabilization, innovative technology, national defense, HB 2054, Texas volunteer fire department assistance fund, Rural Volunteer Fire Department Assistance Program, volunteer fire departments, wildfire mitigation, wildland fire, rural fire protection, insurer assessment, insurance premium tax, state appropriations, firefighting grants, emergency services, high-risk wildfire areas, Texas Comptroller, Texas Government Code

Transcript Highlights:

• Um, so in the case of intergovernmental transfers, we're getting ProShare sort of matched and rebated
• to uh county sort of matched and rebated to uh county nursing<00:07:40.960> homes<00:07:41.280
• Um, so presumably we could collect the tax, we could rebate the tax.
• <00:28:31.120> we<00:28:31.279> just we could rebate the tax. we just we could rebate
• be probably >> rebate would be probably >> maybe<00:28:36.480> not<00:28:36.720><

Keywords: 928, house, all

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”

Transcript Highlights:

• That this is a rebate as opposed to a credit against the business enterprise tax.
• So a rebate, when the DRA administers a rebate, taxpayers submit a ... that um this is a rebate as opposed
• :07:06.840> the<00:07:06.960> Dr work so a rebate um when the Dr work so a rebate um when
• that there is no cap on the rebate.
• She said they assumed this rebate would not carry forward.

Keywords: 928, house, all

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• Spending $4 billion on a rebate creates a $4 billion hole in next biennium's budget.
• Even if Minnesota had the resources for a rebate, our second set of concerns is how the rebate is constructed
• <00:18:27.600> creates Spending $4 billion on a rebate creates Spending $4 billion on a rebate
• 00:18:51.159> rebate<00:18:51.520> is<00:18:51.640> constructed.
• how the rebate is constructed. how the rebate is constructed.

Bills: HF4906, HF3971, HF4777, HF2109, HF2988

Keywords: property tax, tax refund, taxpayer relief, Minnesota taxation, one-time payment, taxation, property valuation, Tax Court, evidentiary standards, Minnesota Statutes, disparity reduction, aid payments, local government, funding, Fillmore County, education funding, managed forest land, classification, forest management plan, agricultural land

Summary: The committee first approved the April 9 minutes, then took up House File 2988, which would extend for eight more years a sales tax exemption tied to Minnesota State High School League tournament ticket revenue that is funneled into the league’s foundation and returned to schools as grants. Chair Youakim and Executive Director Eric Martins said the program sends more than $1.1 million annually back to schools for activity fee reductions, scholarships, coaching and training, AEDs, late buses, and other school needs, with over 98% of funds going directly to schools. Representative Huot and others spoke in support, while Representative Robinson questioned the structure and suggested the state could instead simply reduce ticket prices and not tax the tickets. The committee laid HF 2988 over for possible inclusion in the omnibus tax bill. The committee then heard House File 4906, as amended, which would create a one-time property tax refund in calendar year 2026 for owners of residential homesteads and the homestead portion of agricultural property, funded by a $4 billion appropriation in fiscal year 2027. The bill includes a clawback for delinquent taxpayers and offsets to ensure no one receives more in property tax refunds than they paid. A House Research staffer said the Department of Revenue viewed the refund as potentially taxable, while House Research said it likely should be treated as a recovery of prior taxes, and the two would follow up. The bill was introduced with testimony from Eric Bernstein of We Make Minnesota and Nan Madden of the Minnesota Budget Project, both of whom opposed it, arguing it would create a large budget hole, force future cuts, and disproportionately benefit homeowners while excluding renters and lower-income Minnesotans. Several members also raised concerns. Representative Hewitt said the state should prioritize public safety, rural EMS, and safety-net hospitals rather than a large rebate, and Representative Youakim argued the money would be better spent on longer-term property tax relief and education funding. Representative Hollins said the proposal would worsen racial and wealth inequities because homeownership is lower among communities of color and renters would get nothing. In response, the author and supporters said the bill is meant to put money back into people’s budgets and that individuals should be able to decide how to use their own money. The discussion continued with questions about the bill’s size and fiscal impact, but no final action on HF 4906 was taken in the portion provided.

Transcript Highlights:

• It's our vendor that we pay to generate pharmacy rebate.
• It's our vendor that we pay to generate pharmacy rebate.
• It's our vendor that we pay to generate pharmacy rebate.
• It's our vendor that we pay to generate pharmacy rebate.
• not always the case that with rebate not always the case that with rebate that<01:51:48.960>

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• back to formulary or they give rebates back to formulary or they give rebates back to the the the PBM
• And those rebates really should go PBM. And those rebates really should go PBM.
• will remedy that part that the rebates will remedy that part that the rebates will go back to the plan
• and that's will go back to the plan and that's will go back to the plan and that's where the rebate
• should where the rebate should where the rebate should go.

Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666

Keywords: water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, Texas, Israel, trade, investment, partnership, economic ties, technological innovation, bilateral relations, appropriations, budget, state funding, education, healthcare

Transcript Highlights:

• regard to proposals related to unsatisfactory immigration status, we are proposing to implement a rebate
• As I just mentioned, the ability to secure state rebates on our pharmacy spend for our UIS population
• One is related to rebates, which you kind of talked about in her overview.
• One is related to rebates, which you kind of talked about in her overview about the rebate aggregator
• That we are not able to obtain both state supplemental rebates for.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• I don't believe the fiscal note takes into account rebates.
• In previous years, that rebate is a significant amount.
• Rebates are extremely important, and I don't think that's being calculated in this.
• Where does the rebate money go to? Mr.
• And what you will find is those rebates will go away.

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

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

Summary: The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote. The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities. The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.

Transcript Highlights:

• It requires DOT to establish a clean vehicle rebate program to provide rebates for purchases or leases
• program to provide clean vehicle rebate program to provide rebates<01:29:53.679> for<01:29:54.000
• for purchases of lease of new rebates for purchases of lease of new and<01:29:56.480> use<01:
• The rebates would help. >> Thank you very much. >> Thanks, and thank you, Ted.
• >> Okay.<01:42:33.520> SP2691 SB 2691, and this is the clean vehicle rebate program.

Bills: HB2392, HB2462, HB2423, HB1771, HB2081, HB2334, HB2336, HB1666, HB2375, HB2415, HB2451, HB2373, HB1641, HB1694, HB1695, HB1986, HB1797, HB1879, HB2034

Keywords: transportation, tax credit, employer incentives, commuting, environmental impact, flexible work arrangements, carpooling, bicycling, public transportation, consumer protection, subscription services, motor vehicles, ownership expectations, transparency, biodiesel, renewable diesel, diesel blend, B5, blending mandate, clean energy

Summary: The committees heard testimony on several transportation-related measures. SB 2356, relating to parking, drew support from the Office of Planning, the Climate Change Mitigation and Adaptation Commission, Appleseed Center, Realtors, and the Hawaii Bicycling League. Members discussed the bill in the context of the planned stadium-area mixed-use development, with questions about whether parking would be built in structures rather than as large surface lots. Senators expressed support and noted the measure’s broader housing and parking-reduction goals, but no vote was taken during the hearing. The bulk of the hearing focused on SB 2699, which would create a fare-free youth transit program, a special fund, annual evaluations, and appropriations tied to the environmental, energy, and food security tax. The Attorney General’s office raised technical concerns about whether the special fund met statutory requirements. The Department of Education and Department of Health supported the bill, as did the City and County of Honolulu DOT, Appleseed Center, Hawaii Youth Transportation Council, Public Health Institute, Hawaii Children’s Action Network, Hawaii Bicycling League, Our Children’s Trust, and numerous youth testifiers. Supporters emphasized reduced family transportation costs, better school attendance, improved health and mobility, and environmental benefits. One senator raised emergency-planning concerns about how children using free transit would be handled during events like tsunamis; DOT and DOE responded that emergency procedures are being developed. The chair said the committee would work on language changes, including a delayed effective date to July 2027, and defer decision-making until the 12th. The final measure discussed was SB 2470, which would require leading pedestrian intervals, accessible pedestrian signals, and other safety improvements at state-controlled intersections, and create a process for community requests for accessible pedestrian signals. Appleseed Center, the Hawaii Association of the Blind, and the Disability Rights Center supported the bill, citing pedestrian safety, reduced collisions, and the need for audible cues for blind and low-vision pedestrians. Testifiers urged a phased-in approach that prioritizes high-traffic intersections. The hearing ended with the bill still under consideration and no final vote announced.

Transcript Highlights:

• These rebates are integral to the operations of both exchanges and the members, facilitating smoother
• of the Texas tax code to exclude certain securities transaction payments, specifically transaction rebate
• , so transaction rebates.
• They're typically, you know, 1.1, 2.10, or 3.1 of a cent per per stock that's traded, uh, the rebates
• So that's about a 15% rebate.

Transcript Highlights:

• However, included in the governor's budget is a cost savings where we would see an increase in rebate
• programs it's gotten more complex and we can actually save money leveraging the rebate program.
• where we would see an increase in rebate where we would see an increase in rebate Revenue<02:11:
• the back end is higher increase rebate the back end is higher increase rebate Revenue<02:11:57.199
• price minus the rebate is cheaper than if we ordered the generic.

Keywords: 928, house, all

Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.

Transcript Highlights:

• neutral rebate program for KE vehicles. neutral rebate program for KE vehicles.
• receiving the rebate.
• <01:19:23.600> completely One is that the rebates completely One is that the rebates completely
• the rebate.
• There's an extra rebate the rebate.

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• This, the HIV vendor drug rebate funding loss replacement, this would increase appropriations by 23 million
• in each fiscal year to make up, uh, for, to replace funding from the loss of HIV vendor drug rebates
• Would it be 2 for the fund for the rebate loss for each fiscal year is that so that'd be 40 million total
• So Can we take, um, as far as the rebate option, uh, take that down by 10 or?
• How do we want to do that as far as um we can look at the rebate number I would like to keep the long

Transcript Highlights:

• You have distributors, you have rebate aggregators, you... have managed care organizations.
• Many of them really deal with additional rebates, but they also deal with joint purchasing.
• They also very often own the specialty drug providers, they own the rebate aggregators, and they own
• Or rebate program.
• Or do we then set up our own drug purchasing board that I would Recommend has no rebates and uses our

Transcript Highlights:

• <00:24:54.320> on rateayers in the form of rebates on rateayers in the form of rebates on
• <00:52:27.280> like states uh do do consumer rebates like states uh do do consumer rebates
• A lot of the other rebates directly.
• be<01:38:37.920> beginning The rebate programs will be beginning The rebate programs will
• those rebates will be at point of sale. those rebates will be at point of sale.

Keywords: 1189, house, all