Transcript Highlights:

• It's pretty simple.
• Does the state Medicaid program pay any facility fees on telemedicine?
• Current reimbursement rate is $56 for a facility fee.
• We don't do any fee-for-service; we only work through MCO partners.
• We may talk a little bit more about that. $11 billion a year in fee-for-service.

Keywords: 1184, house, all

Transcript Highlights:

• <00:44:42.400> prohibition Illinois's interchange fee prohibition Illinois's interchange fee
• The simple fact is it doesn't.
• The simple fact is it doesn't.
• districts are not required to pay a fee districts are not required to pay a fee for<01:11:55.520
• This is a pretty simple measure.

Keywords: 981, all

Summary: The Senate met with a quorum, approved the journal, and received several committee reports advancing or disposing of bills. Committee actions included favorable referrals for measures such as House Bills 1336, 1069, 1227, 1314, 1132, 1342, 1196, 1224, and Senate Bill 178, while Senate Bill 100 and House Bill 1308 were postponed indefinitely. The chamber also adopted a motion allowing current Joint Budget Committee members to leave while the Senate remained in session. On third reading, the Senate passed Senate Bill 134, a bill concerning fees imposed by payment card networks, after a close 18-17 vote. Supporters argued it would help restaurants and other small businesses by limiting swipe fees on sales tax, while opponents warned it would not lower consumer costs and could trigger litigation and broader conflicts among financial institutions, payment processors, and businesses. The Senate also passed Senate Bill 165 on species conservation funding, Senate Bill 138 on reducing administrative burdens in the health care system, Senate Bill 172 on the Front Range passenger rail district, House Bill 105 on reducing barriers in the Labor Peace Act and eliminating Colorado’s second union-election requirement, House Bill 106 on designating higher education institutions as thriving institutions, and House Bill 1312 on peace officer participation and POST-related changes. The Senate then moved into committee of the whole for second-reading consent calendar bills and adopted House Bills 1235 and 1299. Later, House Bill 1113 on election law modifications was taken up in committee of the whole; amendments were adopted to update terminology, extend Secretary of State review time for petitions, and exempt special districts from a recording fee. The bill’s sponsor and supporters described it as a technical and security-focused update to election administration, emphasizing voter access, anti-intimidation protections, and data safeguards. The transcript ends while debate on House Bill 1113 continues.

Transcript Highlights:

• The process is simple. If the loan fund. The process is simple.
• to the flat fees?
• to the flat fees?
• licensing fees. licensing fees.
• <01:18:03.120> What examination fees to the flat fees?

Keywords: 1191, senate, all

Transcript Highlights:

• All that would be referred to as a simple HR, maybe a slap on the wrist...
• A simple HR, maybe a slap on the wrist, and maybe a subsequent warning.
• My bill is simple.
• We're going to be using the site providers' service fees to pay for these.
• <00:29:40.480> So service fees to to pay for these. So service fees to to pay for these.

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• and those fees I would say make up fees and those fees I would say make up about<00:46:10.960> 95%
• >> Going to the fees. >> Going to the fees.
• fees, all of those fees are being collected?
• It's coming from the user fees basically. >> User fees.
• It's coming from the user fees<00:57:55.200> basically. fees basically. fees basically.

Keywords: Appropriations - Room 216, 15 January, 2026; 2:00 PM, 925, all

Summary: The meeting began with a budget presentation from the Office of Capital Post Conviction. Director Chrissy Noble described the office’s work representing death-row clients in state postconviction, federal habeas, clemency, and related matters, and said the Legislature has historically funded the office with enough flexibility to handle unpredictable cases. She highlighted four pending actual-innocence cases, including matters involving false forensics and a shaken-baby syndrome challenge, and noted that such cases often require multiple experts. She also cited a recent example where the office was appointed to a case shortly before an execution date was set, and said flexible spending authority allowed the office to secure experts and file on time. The office asked to retain any remaining special-fund cash balance into FY26 and said it had not requested additional salary funding for FY26 because the increase was already handled through flexibility; members praised the office’s work and no vote was taken. The committee then heard from the Ethics Commission. Staff explained requests for salary realignment, additional funding for a part-time hearing officer who handles public records and open meetings cases, and a small amount for fuel/food that was described as a system-related placeholder. The commission said it had a backlog because complaints have become more numerous and complex, and that more funding would allow the hearing officer to process more cases. Members also discussed a prior $10,000 system request that had lapsed and was later found to have been underestimated; the commission said the earlier figure came from an initial quote and the later $25,000 estimate reflected the actual cost. The chairman and members commended the commission’s work, and no formal action was taken. Finally, the Administrative Office of Courts presented its budget requests. The office outlined a deficit appropriation request tied to county-funded court reporter increases, funding for two newly appointed judges, special-judge appointment costs, and death benefits for a court administrator in Warren County. The discussion then focused on judicial salaries, with the office noting Mississippi ranks near the bottom nationally in trial and Supreme Court judge pay, though a cost-of-living adjustment would place the state around 27th. The office said its request follows State Personnel Board recommendations and that it is also seeking a possible increase in filing fees to support the Judicial Operations Fund, which helps cover salary costs not paid from general funds. Members discussed redistricting, special appointments, and the possibility of using fee revenue rather than general funds to support future increases; no vote was taken.

Transcript Highlights:

• So we don't get a direct tax or fee or...? There are taxes and fees that come through these things.
• This is a transfer to PR fees.
• Assessments and fees? Yes, sir. Yes.
• Why is that $250,000 in GR rather than included in this fee?
• I mean, we kind of, that's all pretty simple stuff.

Keywords: 959, house, all

Transcript Highlights:

• <00:16:11.120> Um governor's proposed fee adjustment.
• Um governor's proposed fee adjustment.
• Um, while we're not happy that the seal fee increases from $80 to $325, we understand that the fee has
• Um, while we're not happy that the seal fee increases from $80 to $325, we understand that the fee has
• It's again it's been uh passed simple.

Keywords: 1187, senate, all

Transcript Highlights:

• the fees for the litigation.
• So, so pursuant to the fees and costs.
• attorney's fees.
• So a fee shifting attorney's fees.
• So costs the fees for the litigation.

Bills: SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974

Keywords: environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant

Summary: The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on. The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees. HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments. Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary

Transcript Highlights:

• This bill is a simple repealer.
• It does not forgive any prior failures to file annual reports or unpaid fees.
• The bill also sets the biennial fee at $50 while the annual fee remains $25.
• For limited liability partnerships, the biennial fee is $1,000 while the annual fee remains $500.
• Most importantly, the bill deletes the prohibition precluding fee increases for license and stamp fees

Keywords: 994, senate, all

Summary: The Committee on Government Organization met with a quorum present, approved the minutes, and then considered a series of House bills, most of them related to licensing, local government administration, and agency operations. House Bill 5063 would let county commissions appoint a county commissioner as a voting member of a convention and visitors bureau board, including for multi-county CVBs; it was reported to the full Senate. House Bill 5087 would join the interstate cosmetology licensure compact, allowing licensed cosmetologists to obtain multi-state practice privileges in compact states, and it was also reported. The committee then took up a strike-and-insert amendment for House Bill 4793, which combined provisions affecting barbering/cosmetology apprenticeships and lowered certain age and education requirements; after adopting a Jefferson amendment clarifying the salon training language, the bill was reported as amended. Members next approved a strike-and-insert for House Bill 5638, which clarifies the State Chief Information Security Officer’s duties, changes cyber risk review procedures, and updates references to the Office of Technology head as the chief information officer; it was reported as amended. House Bill 4483, dealing with the Board of Funeral Examiners, was amended to change the effective date for licensee-in-charge requirements and make technical corrections, then reported as amended. House Bill 5653, requested by the Department of Revenue, would expand confidentiality protections to cover audit manuals, guidelines, procedures, algorithms, and related materials to prevent taxpayers from gaming audit selection, and it was reported. House Bill 4452 repeals acreage limits on church property ownership, and House Bill 4801 expands permissible uses of hotel occupancy tax funds to include demolition of unsafe structures and planning or improvement of public property; both were reported. The committee also advanced House Bill 5622, which creates an expedited process for municipalities to conform local election terms and procedures to the state requirement that municipal elections be held with statewide primaries or general elections, and recognizes the Secretary of State as keeper of municipal charter rolls. House Bill 4546 would allow business entities to file reports biennially instead of annually, with higher biennial fees and updated enforcement provisions; its strike-and-insert amendment was adopted and the bill was reported as amended. House Bill 5613 would define and regulate telematics for state fleet vehicles, require reporting on unsafe driving and corrective actions, and include cost-benefit information in annual reports; it was reported. House Bill 5323 would let the Division of Natural Resources adjust license and stamp fees for inflation by removing a prior CPI-based restriction, and House Bill 4819 would revise criminal-record standards for certain non-Chapter 30 occupational licenses, shifting to a direct-relationship standard while preserving existing exclusions for violent sexual offenses; both were reported. The committee then adjourned after closing remarks from the chair and vice chair.

Transcript Highlights:

• It requires the local jurisdiction to clarify what the administrative fees and collected supports.
• It clarifies that permits fee permit fees must be limited to the actual reasonable cost and must be proportional
• We do disk on our base fee.
• So this is just one simple way to bring some common sense legislation to that process.
• You pay a transaction fee to the operator, new purchase, bitcoin.

Transcript Highlights:

• President, this is a simple amendment.
• The bill defines key terms and addresses criminal justice fees.
• fees of $55 currently imposed by DOCR.
• The bill also removes indigent defense fees. Approximately 25%.
• The bill also removes indigent defense fees, including the $35 application fee for hiring a defense attorney

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal. The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause. The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments. The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.

Transcript Highlights:

• We are keeping in the FEF fee. I think it's better.
• Senator Berman: So we are removing the ability to acquire land with a fee simple in the wildlife corridor
• We're going to empower each university to set their own out-of-state tuition fees.
• Applied to their tuition and fees; no double dipping here.
• District revenues that include ad valorem taxes, license fees, mitigation revenue.

Keywords: 999, senate, all

Transcript Highlights:

• Madam Chair, there is no fee; it's the same for everyone. Okay, thank you.
• I try to boil things down to something pretty simple in my mind. So.
• Kind of simple language.
• And that's just a simple...
• We look at terms and fees.

Transcript Highlights:

• This is a simple question.
• So SB 1501 is a simple common-sense reform.
• We could fix this problem with a very simple bill. However, we don't.
• It's as simple as that. We would— In the present arrangement, it's as simple as that.
• It's as simple as that. This was never, Mr.

Bills: SB1246, SB1338, SB1428, SB1443, SB1501, SB1566, SB1571, SB1645, SB1646, SB1663, SB1688, SB1805, SB1808, SB1825, SCR1023, SCR1029, HB2079, HB2080, HB2130, HB2239, HB2324, HB2375, HB2610, HB2619, HB2620, HB2716, HB2745, HB2749, HB2837, HB2857, HB2968, HB4064, HB4066, HB4087, HB4130, HCR2048, HCR2058

Keywords: homeowners associations, foreclosure, common expense liens, condominiums, special assessments, unit owner, public benefits, eligibility, immigration status, documentation, Arizona law, county governance, supervisorial board, population-based representation, local government, elections, noise pollution, environmental nuisances, building permits, urban development

Summary: The committee first heard SB 1825, which would shift precinct committeeman vacancy applications in certain cases from county party chairs to legislative district chairs and require the list of nominees to be submitted within five days. Supporters said the bill would streamline a bottlenecked process and better reflect local party leadership, while the County Supervisors Association said it had no issue with the basic structure but objected to the five-day deadline. The bill received a do pass recommendation on a 5-0 vote, with two members not voting. The committee then considered SB 1566, a measure aimed at preventing municipalities, counties, the state, and state agencies from maliciously delaying permits or approvals, with enforcement by the Attorney General and civil penalties. After a strike-everything amendment narrowed the bill mainly to single-family residential construction and clarified terms, the sponsor and home builders argued it would deter intentional delays that increase housing costs, while one member raised concerns about breadth and public safety or planning issues. The amended bill passed 3-2, with two not voting. SB 1571, as amended, would bar monopoly utilities with a defined customer base from passing marketing, sponsorship, community relations, and similar costs through to ratepayers, and would require annual public reporting and an attestation that such costs were not passed on. Support came from the sponsor, the Home Builders Association, and environmental advocates, while a municipal power users representative warned the language could be too broad for small public utilities and emergency communications. The committee adopted the strike-everything amendment and then gave the bill a do pass as amended recommendation by a 4-2 vote, with one not voting. Later, the committee approved SB 1501, which expands the Administrative Rules Oversight Committee’s review authority to include whether agency rules or policies exceed statutory authority, and SB 1805, which requires county recorders to verify that a notary on a quitclaim deed is actively commissioned before recording the deed. It also passed SB 1808, as amended, to prohibit HOAs and condominium associations from banning flags of nations designated as major non-NATO allies, and SB 1688, as amended, to require certain membership associations receiving public dues support to disclose fees and allow opt-outs. SB 1246, as amended, increased the delinquency thresholds and time periods before HOA/condo foreclosure on common expense liens, and passed unanimously. Finally, SB 1428 was introduced to expand county boards of supervisors in larger counties, with debate focused on representation, cost, and the differing constitutional roles of counties and cities; the transcript cuts off before any final action on that bill.

Transcript Highlights:

• <00:17:42.280> of current flat fee of current flat fee of $10.60<00:17:43.919> which
• in Minnesota um it is uh a scale of fees in Minnesota um it is uh a scale of fees that<00:20:03.320
• <00:20:47.440> increased fund and then our final fee increased fund and then our final fee
• let's just take the fee let's just take the fee proposals<00:30:05.480> uh<00:30:06.480><
• <00:30:38.200> surcharge that AIS fee surcharge that AIS fee surcharge increase<00:30:40.919

Keywords: 1187, senate, all

Transcript Highlights:

• , And that included marriage license fees, And that included marriage license fees, criminal<00:05
• And we had also included funding for that pretty modest fee could really fund a lot of good things in
• that could move more victim services fee that could move more victim services funding<00:06:07.520><
• Back in 2024, we did send a mass notification message county-wide with a simple survey.
• around a simple idea. around a simple idea.

Bills: HF1082, HF2099, HF4177, HF2742

Keywords: public safety, law enforcement, mental health, domestic violence, appropriations, criminal justice, Minnesota corrections, victim services, task force, personal safety, emergency management, local government, funding, preparedness, Minnesota, Bureau of Criminal Apprehension, BCA, Independent Use of Force Investigations Unit, use of force, police accountability

Transcript Highlights:

• Um, we have $2 million for legal fees.
• Thank you, and get those legal fees back, Chair. Thanks for the latitude on this one.
• Need 2.4 for the study, you need $2 million for this legal fees. What else?
• That's just a simple thing, but we need to do it to protect the quality of care.
• clear budget no cap on assessment fees clear budget no cap on assessment fees and<02:21:33.399><

Keywords: 910, house, all

Transcript Highlights:

• Um Senate file 4124 is a very simple Um Senate file 4124 is a very simple bill<00:21:37.200>
• So, their only source of money is the fees they charge, a federal grant, or a state grant. Mr.
• that the ports paid for by the fees that the ports charged<00:33:23.160> people<00:33:23.520>
• they charge, a federal grant or the fees they charge, a federal grant or a<00:33:32.920> state
• <00:35:20.240> little just just based on this simple little just just based on this simple

Keywords: 1187, senate, all

Transcript Highlights:

• Senator Senator Blackwell's bill fees.
• <00:38:49.359> in<00:38:49.680> in them to pay your attorney fees in in them to pay
• This is a simple bill.
• This is a simple bill. Right due pass. This is a simple bill.
• There were some issues with fines on some very simple things that could be issued as a warning.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Summary: The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions. The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially. The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.

Transcript Highlights:

• That's a simple fix.
• That's a simple fix. We're would fix it. That's a simple fix.
• So it's a simple fix in my opinion. We retain it.
• So it's a simple fix in my opinion. We retain it.
• So it's a simple fix in my opinion. We retain it.

Keywords: 1189, house, all