Video & Transcript Research : 'group benefits program'

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OK
Transcript Highlights:
  • I am honored today to recognize a group.
  • The beads program is the final grant.
  • We couldn't fund our end of Snap benefits, but we have $840,000 for an aspirational program that might
  • Can you talk to Me about, are we adding programs or expanding slots in current programs?
  • It's a reallocation of existing programs.
TX

Texas 89th Regular

Senate Session Aug 19th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • And the federal budget has cut many of these programs.
  • , homelessness programs, the kind of things that we in this chamber expect them to do and the kind of
  • Senate Bill 182 would have expanded the program for accessibility for female inmates by redirecting TDCJ
  • to ensure a wide variety of programming available to female inmates.
  • allowed for sexual harassment to be considered a viable reason for an employee to receive unemployment benefits
FL

Florida 2025 Regular Session

Senate in Session Mar 4th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • FOR EXAMPLE, THE LONG-RANGE PROGRAM PLANS SUBMITTED BY STATE AGENCIES HAVE BEEN IN PLACE SINCE 2000.
  • THE GOVERNOR AND SENATORS BURTON, HOOPER, AND I HAVE SERVED, RECOMMENDED MODERNIZING THE LONG-RANGE PROGRAM
  • RANGE PROGRAM PLAN TO IMPROVE FLEXIBILITY, SIMPLIFY PROCESSES, AND SHIFT THE FOCUS TO MEASURED OUTCOMES
  • WE WILL CONTINUE TO PASS MEANINGFUL BROAD-BASED TAX CUTS THAT BENEFIT FAMILIES, SENIORS, AND THOSE LESS
  • IMPORTANT CHILD WELFARE LEGISLATION TO COMBAT CHILD EXPLOITATION, CREATE A RECRUITMENT PROCESS, AND PROGRAM
HI

Hawaii 2026 Regular Session

Committee on Technology - February 4, 2020

Hawaii Senate Floor Meeting

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=8SRXoF8fbBI, 2026-07-02T01:22:43+00:00, 2.2.24, Data collected via generic collector engine, Scheduled for February 4, 2020 Ka ‘Aha Kenekoa THE SENATE Ka ‘Aha ‘Ōlelo Kanakolu THE THIRTIETH LEGISLATURE ‘Aha Kau Kānāwai 2020 REGULAR SESSION OF 2020 Ke Kōmike ‘Enehana COMMITTEE ON TECHNOLOGY Kenekoa/Senator Jarrett Keohokalole, Luna Ho‘omalu/Chair Kenekoa/Senator J. Kalani English, Hope Luna Ho‘omalu/Vice Chair Ke Kōmike Ikehu, Ho‘omohala Waiwai, a me ka ‘Oihana Ho‘okipa Malihini COMMITTEE ON ENERGY, ECONOMIC DEVELOPMENT, AND TOURISM Kenekoa/Senator Glenn Wakai, Luna Ho’omalu/Chair Senator Brian T. Taniguchi, Hope Luna Ho‘omalu/Vice Chair Lā / DATE: Pō‘alua, Pepeluali 4, 2020/ Tuesday, February 4, 2020 Hola / TIME: 2:45 p.m. Wahi / PLACE: Lumi ‘Aha Kūkā 414 / Conference Room 414 Ke Kapikala Moku‘āina / State Capitol 415 South Beretania Street Papa Kumuhana A G E N D A SB 2527 RELATING TO BROADBAND SERVICE INFRASTRUCTURE. Establishes the broadband service infrastructure grant program to award grants to applicants to extend deployment of facilities used to provide broadband service to unserved and underserved areas of the State. Makes an appropriation. TEC/EET, WAM Ke Kōmike ‘Enehana COMMITTEE ON TECHNOLOGY Kenekoa/Senator Jarrett Keohokalole, Luna Ho‘omalu/Chair Kenekoa/Senator J. Kalani English, Hope Luna Ho‘omalu/Vice Chair Lā / DATE: Pō‘alua, Peleluali 4, 2020/ Tuesday, February 4, 2020 Hola / TIME: 2:50 p.m. Wahi / PLACE: Lumi ‘Aha Kūkā 414 / Conference Room 414 Ke Kapikala Moku‘āina / State Capitol 415 South Beretania Street Papa Kumuhana A G E N D A SB 2837 RELATING TO INFORMATION TECHNOLOGY STEERING COMMITTEE. Preserves the continuity of the Information Technology Steering Committee to properly administer 27-43, Hawaii Revised Statutes, while redefining the composition of the committee. TEC, JDC SB 2243 RELATING TO LEGISLATIVE TESTIMONY. Requires the house and senate to permit remote testimony, via telephone, at public hearings. TEC, WAM SB 2432 RELATING TO CABLE TELEVISION. Amends the factors the director of commerce and consumer affairs must consider when determining whether cable service should be made available upon a new application of a cable franchise. Requires that the director require cable operators to provide cable service to residences in their service area where there is a minimum density of at least twenty-five homes per linear mile, with certain exceptions. TEC, CPH Ke Kōmike ‘Enehana COMMITTEE ON TECHNOLOGY Kenekoa/Senator Jarrett Keohokalole, Luna Ho‘omalu/Chair Kenekoa/Senator J. Kalani English, Hope Luna Ho‘omalu/Vice Chair Ua Ho‘opane‘e ‘ia nā Pila a i ka Pō‘alua, Pepeluali 4, 2020 MEASURES DEFERRED TO Tuesday, February 4, 2020 Lā / DATE: Pō‘alua, Pepeluali 4, 2020/ Tuesday, February 4, 2020 Hola / TIME: 2:55 p.m. Wahi / PLACE: Lumi ‘Aha Kūkā 414 / Conference Room 414 Ke Kapikala Moku‘āina / State Capitol 415 South Beretania Street Ka Ho‘oholo Mana‘o ‘ana ma nā Pila i Helu ‘ia ma Lalo Nei: DECISION MAKING ON THE FOLLOWING MEASURE(S): SB 2307 RELATING TO STATE PROCUREMENT OF WIFI AND INTERNET SERVICES. Requires that all state and state funded facilities have internet computer and wireless access filters to block access to pornography sites. GVO/TEC, WAM SB 2836 RELATING TO THE ACCESS HAWAII COMMITTEE. Gives agencies more flexibility and online options to provide enhanced digital services to the public in order to better serve the public and businesses TEC/GVO, JDC No Ka ‘Ike ‘Ē A‘e, E Kelepona Aku I Ke Kākau ‘Ōlelo Kōmike Ma (808) 587-7217. FOR FURTHER INFORMATION, PLEASE CALL THE COMMITTEE CLERK AT (808) 587-7217., 912, senate, all, 2.2.42, 2.1.47
OK
Transcript Highlights:
  • So fringe benefits includes things like retirement, health insurance, for instance, that's something
  • The reality is that we provide additional benefits that many other states don't, which is, I think, why
  • We don't offer teachers the same benefit allowance that we offer ourselves, which I authored a bill to
  • So we hear a lot about benefit structures and whatever else.
  • I've heard for years that... ...benefit structures and whatever else.
Summary: The House met in quorum call and then took up a long series of Senate bills, most of them passing with little or no debate. Early action included SB 1475, renaming the I-35 bridge at Indian Hills in Norman as the Toby Keith Memorial Interchange, which passed 77-5. SB 1447, modifying the RFP process for the state employees’ prescription drug plan, passed 87-0. The chamber also adopted Senate amendments to HB 2288 on the Teacher Retirement System, shortening the return-to-work waiting period for teachers from three years to six months, and both the bill and its emergency clause passed 90-0. Other education-related measures included SB 1521 on conversational AI child protections, SB 1276 making the “bell-to-bell, no-cell” school cellphone restriction permanent, SB 201 raising the minimum teacher salary schedule by $2,000, and SB 1721 extending and restructuring the Oklahoma Advisory Council on Indian Education; all advanced, with SB 201 drawing the most debate over teacher pay, local control, and whether the increase was enough. The House also passed bills on veterans, public safety, and state operations. SB 1533 would allow the Oklahoma Department of Veterans Affairs to bury Oklahoma resident veterans who die out of state. SB 1232 updated penalties for copper theft, SB 1255 shifted medical pardon review from the DOC director to the medical director, SB 1327 restored more authority to the Oklahoma Tourism and Recreation Commission board, and SB 1525 authorized up to $75,000 for the state’s annual tourism conference; the tourism bill also received emergency passage. Additional measures included SB 667 clarifying chiropractic education language, SB 1436 requiring hospitals to provide information after fetal death, SB 1317 allowing career teacher status to transfer to a new district with approval, SB 604 resolving motor vehicle statutory conflicts, SB 1325 protecting domestic abuse victims, SB 1496 updating OSBI authority, SB 2007 requiring PBMs to honor appealed reimbursement rates going forward, SB 1567 clarifying nursing language, SB 2112 cleaning up open pasture road law, SB 1980 creating gift card protections, SB 1735 aligning career tech oversight, SB 1558 clarifying child-care licensing rules for certain group homes, SB 1491 clarifying replacement presidential electors’ oath requirements, SB 1287 allowing the Abstractors Board to deny licenses to people not legally working in the U.S., and SB 1378 creating an Olympics in Oklahoma revolving fund. Most of these passed by wide margins, and several emergency clauses were adopted. The chamber also rejected a motion to vacate the temporary presiding officer, and later voted to reject Senate amendments to HB 3403 and request further conference, while also requesting a second conference committee report on HB 1851. The session included multiple gallery introductions, including visitors, ag students, and a large page presentation. The House adjourned until Wednesday, April 29, 2026, at 10:30 a.m.
OK
Transcript Highlights:
  • We have a large group to get through the line.
  • There's several other provisions that they can be removed from the program for.
  • There's several other provisions that they can be removed from the program for.
  • And then that follow-up, continued follow-up... of such a program.
  • And sometimes our budget doesn't support those programs that would help this.
Summary: The House convened, called the roll, offered prayer and the Pledge of Allegiance, and recognized the Nurse of the Day and several student and athletic groups, including Career Tech students, charter school students, Meridian Tech students, and Carl Albert championship teams. A lengthy personal privilege/farewell-style speech was delivered by Representative Lepak, reflecting on his service, family, staff, and legislative colleagues, and offering general advice about public service and the legislative process. The chamber then took up several Senate bills. SB 1369, creating a 988 revolving fund to support Oklahoma’s mental health lifeline, passed 85-7. SB 1441, clarifying penalties for drones contacting critical infrastructure, passed 80-2. SB 137, adding DUI/GBI to electronic monitoring ineligibility and clarifying Department of Corrections language, passed 72-18 after questions about retroactivity and administrative authority. SB 843, raising the minimum ADA threshold from 400 to 550 for school districts to hire relatives of board members, passed 77-4, and its emergency clause also received the required two-thirds vote. The most extensive debate centered on SB 483, which would have authorized county commissioners to establish a relocation assistance program for people seeking to move to supportive housing or services. Members raised concerns about homelessness policy, county capacity, public-private partnerships, safeguards, and possible misuse or “bussing” of people between communities. The bill ultimately failed 35-52, and notice was given of a possible motion to reconsider. Later, SB 1433, requiring agencies to publicly post guidance documents and note they lack the force of law, passed unanimously; SB 1257, updating THC-related language in controlled substances law, passed 68-13; and SB 1365, updating promotional fund language for state retail outlets, lodges, gift shops, and golf courses, failed 43-42, with notice of reconsideration also given. The House then moved to recess until 1:15 p.m.
LA

Louisiana 2026 Regular Session

Transportation, Highways and Public Works May 5th, 2026

Transportation, Highways & Public Works

Transcript Highlights:
  • It would acknowledge the fact that the relationship between Louisiana and Ireland would benefit from
  • This resolution is part of a program where we had met with members of the DOT up in Washington to try
  • So one more time, just for my slow benefit, yes, sir: tell me what the bill is attempting to do?
  • But I feel we're moving in the right direction, and I think adding an extra group, I don't know...
  • But I feel we're moving in the right direction and I think adding an extra group I don't know.
Summary: The House Transportation Committee met on Tuesday, May 5, and considered a long agenda of mostly transportation, public safety, and local infrastructure measures. Among the bills reported favorably were Senate Bill 420, which adds Vermilion and Iberia Parish representation to the Lafayette Metropolitan Expressway Commission; Senate Bill 69, which updates appointments to the South Tangipahoa Parish Port Commission after redistricting; Senate Bill 40, which expands Louisiana’s move-over/safety protections for emergency and disabled vehicles; and House resolutions from Rep. Dickerson urging DOTD action on Highway 16 widening, turn lanes on Highway 1024, and a roundabout on Highway 1019. The committee also advanced HCR 53 creating a study committee on oversized vehicle permits, SB 438 increasing per diem for the Greater Lafourche Port Commission, SB 449 giving the New Orleans Public Belt more procurement flexibility, SB 115 allowing DOTD to assume certain federal NEPA duties to speed project delivery, and SB 489 authorizing third-party verification of vehicle insurance coverage. Members heard testimony on several safety and enforcement measures. SB 151 would flag OMV records for people who owe DNA samples under CODIS-related criminal provisions; State Police explained it would help law enforcement collect required samples and aid cold cases. SB 48 would create driver’s license reciprocity between Louisiana and Ireland, and SB 235 would clarify payment and liquidated damages rules for public contracts, with contractors and industry representatives saying it would help ensure timely payment to contractors, subs, and suppliers. SB 55 clarified that seat belts must be worn across both the lap and shoulder, and SB 278 required ignition interlock devices for DUI-related license reinstatement; committee members raised questions about due process, vehicle use, and how the devices would work, but both bills were reported favorably. Several measures drew more extensive debate. HB 762, as amended, would give OMV discretion over referring certain debts to the Office of Debt Recovery or Attorney General, and the amendment passed 14-2 after discussion about relief for drivers who cannot pay. SB 330 on school-zone automated speed enforcement received an amendment preserving existing compliant pavement markings, but a separate amendment to exempt Shreveport, Gretna, Livonia, and Westwego from the law failed on a roll call vote. HB 714, as substituted, would have created a railroad commission and required railroads to address blighted or abandoned lines, but after concerns about federal preemption, definition of blight, and whether a new commission was needed, Rep. Phelps moved to defer the bill, and the committee agreed. The meeting ended with adjournment after a brief recognition of committee staff and visitors.
AL

Alabama 2026 Regular Session

Alabama Senate Finance and Taxation Education Committee Apr 1st, 2026

Finance and Taxation Education

Transcript Highlights:
  • So all that being group grows larger.
  • We’ve got one for pilot programs. We got another for innovation type programs in the K-12 world.
  • in the state for those summer programs? in the state for those summer programs?
  • You got two groups out there.
  • There's a request for the bass program. There's a request for the bass program.
VA
Transcript Highlights:
  • amount by $52 and included a work group to study making annual adjustments to weekly benefits.
  • amount by $52 and included a work group to study making annual adjustments to weekly benefits.
  • Seeing none, we'll move on to our update on adjustments to weekly benefits work group.
  • Seeing none, we'll move on to our update on adjustments to weekly benefits work group.
  • Adjustments to Benefits Work Group, et cetera, that may help us identify pathways forward.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026

Employee Benefits Programs Committee

Transcript Highlights:
  • We'll bring this Committee on Employee Benefits Programs back to order.
  • Group Insurance Program.
  • Group Insurance Program.
  • Group Insurance Program.
  • Chairman. uniform group insurance program. Thank you, Mr. Chairman.
Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026 at 10:00 am

Employee Benefits Programs Committee

Transcript Highlights:
  • We'll bring this committee on Employee Benefits Programs back to order.
  • Group Insurance Program.
  • This bill draft creates another subgroup under our Uniform Group Insurance Program for retired peace
  • This bill draft creates another subgroup under our Uniform Group Insurance Program for retired peace
  • This bill draft creates another subgroup under our Uniform Group Insurance Program for retired peace
Keywords: 908, all
VA
Transcript Highlights:
  • amount by $52 and included a work group to study making annual adjustments to weekly benefits.
  • Seeing none, we'll move on to our update on adjustments to weekly benefits work group.
  • Seeing none, we'll move on to our update on adjustments to weekly benefits work group.
  • There were federal—there's the federal program, there's state programs, and they were new programs that
  • This is a new program.
Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.
ND

North Dakota 2025-2026 Regular Session

Employee Benefits Programs Committee May 7th, 2026

Transcript Highlights:
  • We'll bring this Committee on Employee Benefits Programs back to order.
  • benefits.
  • Group Insurance Program.
  • So this bill draft creates another subgroup under our Uniform Group Insurance Program for retired peace
  • So this bill draft creates another subgroup under our Uniform Group Insurance Program for retired peace
Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
FL

Florida 2026 Regular Session

Health Policy Jan 14th, 2025

Health Policy

Transcript Highlights:
  • It provides full state plan benefits as well as pregnancy-related benefits.
  • The SMMC program has this concept of expanded benefits, and these are benefits that are not paid for
  • So the SMMC program has this concept of expanded benefits.
  • that program.
  • The doula program, as we noted here, is largely provided through the expanded benefits that our health
Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.
ND

North Dakota 2026 1st Special Session

Health Care Committee Feb 12th, 2026 at 09:30 am

Transcript Highlights:
  • Due to this, each mandate must be brought before the Employment Benefits Program Committee.
  • And those two sections are 54-30.2-4 for the Employee Benefit Programs Committee, Powers, and Duties.
  • So as far as what's required of the Employee Benefit Programs Committee, they do meet during the interim
  • So as far as what's required of the Employee Benefit Programs Committee, they do meet.
  • Proposed measures that are provided to the Employee Benefit Programs Committee during the interim, by
Keywords: 908, all
Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • And it's a mandatory Medicaid group as we saw earlier in the slides and provides full state plan benefits
  • You may hear the acronym maybe for how to the SMC program as concept of extended benefits and these are
  • benefits.
  • that program.
  • this group and the postpartum period that some see health plans have healthy behavior programs to encourage
Keywords: 999, senate, all