Transcript Highlights:

• a couple times this session what happens with the perm rate is talk about the perm rate a couple times
• Our state has been paying to house Kelsey at hospital rates.
• It's going to be based on capitation rate shifts from the SMI RBHA to the ALTCS capitation rate, in addition
• The reimbursement rate must be applied as an increase to the provider reimbursement rate and in addition
• that exceed the Access fee-for-service reimbursement rates.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• This division reviews policy forms and rates. Regulation division.
• When it comes to rates, and I'm going to be specific to homeowners insurance, we do not have rate approval
• And so the other thing is that, again, we do look at those rates.
• What's your vacancy rate, or what's your turnover rate today?
• So we still have a fairly high turnover rate.

Keywords: 959, house, all

Transcript Highlights:

• , federal income tax rate.
• rough tax rate federal income tax rate rough tax rate federal income tax rate that<00:39:46.319>
• <01:46:46.920> interest<01:46:47.280> rate doing interest rate interest rate doing
• So when you stack the two, that's the total tax rate in that community, equalized tax rate.
• of arbitrary rate um or amount to a rate of arbitrary rate um or amount to a rate would<04:18:46.119

Keywords: 928, house, all

Summary: The committee opened a public hearing on HB 402, a bill dealing with whether Education Freedom Account (EFA) payments should be described in state law as not constituting taxable income. The bill sponsor argued that the current statute is misleading because New Hampshire should not imply a federal tax result, and said the bill would remove that language and could also be amended to clarify that families should consult tax advisors. He emphasized that the measure was not intended to impose a state tax on EFAs, but to avoid giving inaccurate advice about possible federal tax liability. Testimony was divided. A retired representative and a tax preparer both opposed the bill, saying EFA payments are already treated consistently with IRS rules and that the bill would create confusion, administrative burden, and possible tax consequences for low- and moderate-income families. They argued the bill is a solution in search of a problem and warned that requiring 1099s could add costs for the scholarship organization and recipients. A tax attorney supported the bill’s repeal of the state language, saying New Hampshire should not put tax advice into statute and that the current wording is inaccurate because federal law, not state law, controls taxability. He cited IRS Section 117 and Publication 970, explaining that only some scholarship-like payments are tax-free and that many EFA-eligible expenses may not qualify for federal exemption. Members asked questions about what would be misleading, whether the bill was trying to tax EFAs, and the cost of issuing 1099s. The sponsor and witnesses repeatedly said the bill was not a state tax on voucher payments, but a clarification about federal tax treatment. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• Cancellation notices, their rate increases.
• The free or reduced reimbursement rate that you are likely familiar with.
• Given our high rates of CEP participants due to high rates of student participation in these programs
• Participation rates are now higher than the national average.
• They pay significantly less than even our Medicaid rates or less than commercial insurance rates.

Transcript Highlights:

• And 11 last question, do we know, so how does this impact their, um, no new revenue rate?
• following year, they can adjust their rates.
• So currently, our tax rate is, uh, 52 cents on a dollar, uh, valuation.
• And I'm proud to say though that our tax rate in our city here.
• The 10-year growth rate is, uh, currently around 26%.

Transcript Highlights:

• know at the 2 and a half million rate know at the 2 and a half million rate without<00:28:43.240
• We pay certain rates for them.
• We pay certain rates for them.
• We pay certain rates for them.
• We pay certain rates for them.

Keywords: 1191, senate, all

Transcript Highlights:

• It would not go up near the rate.
• and as rates get compressed.
• rates that could be increased.
• What's your attrition rate? Are you?
• So right now our disposition rate... So right now our disposition rate is about 80 percent.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Medicaid rates.
• Getting rates.
• He told the committee that they were doing a rate study and a provider capacity study to set base rates
• They did the rate study before they did the provider capacity study, so the rate study didn't know that
• This is still the rate that we're relying on today is a rate that is illegal to use.

Transcript Highlights:

• From our inception of this, we have been raising rates, and by the time we're done raising rates, they
• Obviously, our rates were low to begin with, but this will put us in the top 15% of rates across the
• done raising rates they will have done raising rates they will have increased increased increased 700%
• will put us in the top 15% of rates will put us in the top 15% of rates across<00:04:58.320>
• Nominally, the 15% rate increase.

Bills: HF220, HF230, HF240, HF241, HF295, HF429, HF490, HF505, HF574, HF576, HF581, HF865, HF918, HF1085, HF1449, HF1452, HF1454, HF602

Keywords: HF220, Minnesota transportation, highway user tax distribution fund, trunk highway fund, Minnesota Department of Transportation, MnDOT, transportation finance, dedicated funds, funding restrictions, arts in transportation, cultural strategies, transportation project planning, project design, project construction, placemaking, public art, infrastructure spending, state statutes 161.045, HF230, Wyoming

Transcript Highlights:

• high rate.
• We do track and trend our denial rates.
• We continue to see that rate increase.
• The 98 response rate in Florida is actually one of the top in the nation in terms of response rates and
• This diversion rate saves the state.

Transcript Highlights:

• We have to use a statewide unemployment rate.
• Months, the average statewide unemployment rate would be used to calculate that.
• And so a statewide unemployment rate is used.
• Texas statute actually caps 204.061 caps the ceiling at 2% tax rate on total wages.
• For example, in terms of unemployment rates, our state's regions vary greatly.

Bills: HB112, HB199, HCR9

Keywords: school district, bond issuance, election dates, voter approval, Texas Education Code, HCR 9, Texas State Cemetery, Hill Country flood, July 4 2025 flood, Guadalupe River, Camp Mystic, memorial, monument, concurrent resolution, disaster remembrance, natural disaster, flood victims, survivors, State Preservation Board, Texas secretary of state

Summary: The Committee on Trade, Workforce and Economic Development met with a quorum and moved quickly through a long agenda, hearing testimony and taking recorded votes on several bills. Early in the meeting, HB 2214 was laid out to exempt certain short-term residential leases and leaseback arrangements from flood-disclosure requirements; Texas Realtors supported the change, and the bill was left pending. The committee then voted out a series of pending measures, including HB 46, HB 186 (with a committee substitute), HB 431, HB 1147, HB 1154, HB 2468, HB 2488, HB 2788 (with a substitute), HB 2791 (with a substitute), HB 3260, and HCR 90, all reported favorably to the full House, with HB 1147 receiving two nays and the others passing unanimously or nearly so. A major portion of the hearing focused on HB 112, which would create a Texas Science Park district and commission to support advanced manufacturing and innovation sites. The bill’s author and supporters, including Samsung Austin Semiconductor, the Texas Association of Business, and the Governor’s economic development office, argued it would strengthen supply chains, attract investment, and support national security and workforce development. Testimony described interest from semiconductor and advanced manufacturing companies and referenced the model of foreign science parks such as Sinshu in Taiwan. HB 112 was left pending after testimony. The committee also heard HB 3698 and HB 3699, both related to unemployment insurance administration. HB 3698 would expand eligibility for the Reemployment Services and Eligibility Assessment program using federal funds, while HB 3699 would tighten the definition of “last work” to help the Texas Workforce Commission investigate UI fraud. Both bills were discussed with TWC resource witnesses and left pending after the committee withdrew the substitutes. HB 1349, which would extend HOA transparency and property-rights provisions to condominiums and refine HOA rules, and HB 621, which would require HOA meeting spaces to be available for residents to reserve for qualified political candidates or elected officials, were also heard and left pending. Finally, the committee heard HCR 9 to designate the first Saturday of each month as Small Business Saturday, HB 199 to index unemployment benefit duration to the state unemployment rate, and HB 3466 to exempt certain cancelable service contracts from Texas’s in-home sales cooling-off law; each drew supportive and opposing testimony and was left pending before adjournment.

Transcript Highlights:

• in-network rate.
• So the hospital submitted. rolled in, therefore we don't have an in-network rate.
• rate.
• residual market. ...can, with the insured's written consent, change rates above their filed rates so
• Do you have enough money to pay claims based on the way these rates are set up?

Summary: The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support. The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted. Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.

Transcript Highlights:

• That's the error rate, and the new BBB, the “big beautiful bill,” requires an error rate of less than
• We gave them a higher rate of pay raise. We funded it, 3%.
• The rating agencies love the six-year plan, too.
• We have one of the highest FMAP rates in the country.
• We have one of the highest FMAP rates in the country.

Keywords: 994, senate, all

Transcript Highlights:

• Built into that capitation rate is approximately 2% of a large portion of the capitation rate.
• :17:10.640> rate<00:17:10.959> is<00:17:12.079> um into that capitation rate is
• be available within the program because the rates from an actuarial standpoint have...
• Rates from an actuarial standpoint have to be a reasonably efficient MCO.
• It needs to be able to achieve that, and that's what the actuary sets the rates at.

Keywords: 928, house, all

Summary: The Fiscal Committee met on May 16, 2025, and first adopted a rules-and-procedures change extending online audit approval timelines for American Rescue Plan items through December 2026 and bipartisan infrastructure law items through June 30, 2027. The committee then approved the April 18 minutes and adopted the consent calendar with several items removed for separate discussion, including items from Tabs 4, 6, and 7. On Tab 4 item 2511, members questioned why the state was paying utility costs for the Laconia property while it is being sold. Commissioner Charlie Arlinghaus explained the budget line covered utilities generally, not just heat, that some buildings still require minimal heating, and that the main increase was tied to the Winnipesaukee River Basin Project wastewater charges. He said the charges had risen sharply, the property sale would eventually trigger a utility true-up at closing, and he would provide additional analysis. The committee then adopted the item. On Tab 4 item 25115, the Department of Justice said funding for a temporary fourth pathologist was removed from the 2026-2027 budget because it was no longer needed, and the committee adopted the item. On Tab 6 item 25126, Department of Health and Human Services officials explained the Medicaid managed care “withhold” as a performance incentive: about 2% of capitation payments are held back, then redistributed based on quality and operational metrics, with unearned amounts staying with the state until the end of the program and subject to actuarial requirements. They said the approach has improved performance and helped with Medicaid unwinding outreach, reducing enrollment by about 11,000 people in the past year. The committee adopted the item. On Tab 7 item 25139, the Department of Energy said it no longer needed an additional position because existing staff could handle the work, and the item was adopted. The committee also adopted regular-calendar items 25114 and 25131, noted that one regular-calendar item had been withdrawn, set the next meeting for June 20 at 11:00 a.m. in Room 100 of the State House, and adjourned after a motion and second.

Transcript Highlights:

• ON THE POSTSECONDARY AUDIT METRICS THE FIRST IS ARE WE RETENTION RATE OR SUCCESS RATE?
• SUCCESS RATE AND CONTINUING EDUCATION AND ALSO THE EMPLOYED RATE.
• OR SUCCESS RATE METRIC AND 98.97% ARE MEETING THE CONTINUING EDUCATION OR EMPLOYMENT RATE METRICS AS
• WE MEASURE THE SUCCESS OF OUR PROGRAMS THROUGH GRADUATION RATES, JOB PLACEMENT RATES, AND EMPLOYER SATISFACTION
• A JOB PLACEMENT RATE OF 91 PERCENT AND A LICENSURE PASS RATE OF 98 PERCENT.

Keywords: 999, senate, all

Transcript Highlights:

• SBA in 2023 had a default rate of 8.1% in 2024, which is more than double the default rate of 7A loans
• Six-year term and a 7.5 interest rate.
• The default rate has almost tripled.
• Delinquency and default rates.
• Our default rate hasn't changed.

Keywords: SBA, 7A loan program, underwriting standards, loan defaults, Community Advantage Program, small business funding, testimony

Summary: The committee meeting focused on discussions regarding the SBA's 7A loan program and its implementation challenges. Members raised significant concerns about recent changes to the underwriting standards, which have been criticized for leading to an increase in loan defaults. Ranking members expressed a desire for a return to stronger guidelines to protect taxpayers and ensure the program remains a viable source for small businesses struggling to secure funding. Testimonies from community lenders highlighted their efforts to support underserved communities and stressed the importance of the Community Advantage Program.

Transcript Highlights:

• undergraduate rate is.
• , you know, on our existing rates.
• But under this, using those rates, those completion rates, the base is about 86 and a half.
• There's not different rates between completion rates between the campuses because the differences in
• We have different completion rates.

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• We should have some flexibility to change rates.
• Now, what's really frustrating for Blue Cross is we just, change rates.
• Gress, it is very common in designing reimbursement rates for insurers.
• Don't they pay higher malpractice insurance rates though?
• Lussure, so your rate reimbursement rates went down.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• if you're even a renter, the cost of insurance, the cost of property taxes, the cost of an interest rate
• As interest rates rise, as the cost of insurance rises, as property taxes rise, all of that is being
• of any mortgage that might exist rate of any mortgage that might exist the<00:01:57.640> cost
• then when it comes to uh interest rates then when it comes to uh interest rates interest<00:05:00.080
• rates are something that's interest rates are something that's that's<00:05:01.600> a<00:05:01.759

Keywords: 1187, senate, all

Summary: Senator Eric Lucero testified about Minnesota’s housing affordability challenges, arguing that rising interest rates, insurance costs, property taxes, and construction expenses are being passed on to renters and homeowners. He said the core problem is supply and demand: demand has risen while supply has not kept pace, in part because fewer homeowners are selling or downsizing. Lucero said the legislature should look for ways to reduce costs without creating major new state expenses, especially in a budget year with a projected deficit. Lucero highlighted several policy ideas and bills. He said he has introduced a bill to exempt sales tax on building materials, which he argued would lower the final cost of new homes. He also said he is interested in reducing permit costs and examining other factors that affect construction costs, including materials and labor. On insurance and property taxes, he suggested lawmakers should consider reforms or relief measures, while noting that interest rates are largely beyond state control. The discussion also focused on homeowners associations and common interest communities. Lucero said he has been part of a bipartisan work group for about six months that reviewed public testimony and expert input, and that the group has now issued recommendations. He said he and other legislators plan to turn those recommendations into one or more bipartisan bills aimed at improving transparency, accountability, and reducing costs for homeowners. He closed by saying housing affordability affects everyone and that he believes there is momentum this year for reforms that support homeownership and generational wealth.

Transcript Highlights:

• The first bill that we will call up is House File 3432, Representative Rower, resident tuition rates
• rates, but a different statute would rates, but a different statute would then<00:03:00.000> have<
• Um, I rates and not state financial aid.
• student tuition resident tuition rate. student tuition resident tuition rate.
• Um as far as resident tuition rates,<00:30:16.240> no.

Keywords: 1183, house